Organization
FAMILY ACUTE CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA H STENNETT CFNP (PRESIDENT)
(662) 286-5112
Entity
Organization
Contact information
Practice address
123 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-5112
(662) 286-6015
Mailing address
123 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-5112
(662) 286-6015
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
R124170
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120901
—
MS
01
—
1487701694
INDIVIDUAL NPI
—
Enumeration date
05/16/2007
Last updated
08/22/2020
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