FAMILY HEALTH CARE CLINIC, INC; NPI #1457781486

Contact Information

FAMILY HEALTH CARE CLINIC, INC

100 RED CROSS PL
BOGALUSA, LA 70427-3732

Phone: 800-508-7481
Fax: 601-825-8130
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for FAMILY HEALTH CARE CLINIC, INC

NPI # 1457781486

LBN Legal business name FAMILY HEALTH CARE CLINIC, INC

Authorized official MARGARET GRAY - (PRESIDENT AND CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/12/2013

Last updated 05/03/2024 - About 2 years ago

Identifiers

Medicaid

02359533

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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