NPIMap

Organization Active NPI

Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ellisville, MS
National Provider Identifier
1083255087
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTER INC
Practice address
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone
(601) 425-3033
Fax
(601) 428-6561
NPI assigned
Oct 1, 2019
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Coney Lee Johnson
Title
Chief Operating Officer
Phone
(601) 425-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Mailing address

P O Box 4361 117 South 11TH Avenue
Laurel, MS 39441
Phone (601) 425-3033

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laurelfhc-ms.com Direct

National Provider Directory

National Provider Directory

Locations

5192 Highway 11 N
Ellisville, MS 39437
Phone (601) 425-3439

103 S 12th Ave
Laurel, MS 39440
Phone (601) 399-1970

531 Highway 28 E
Unit A
Taylorsville, MS 39168
Phone (601) 785-9580

713 Lomax Ave
Waynesboro, MS 39367
Phone 6014253033157

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1083255087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 4361 117 SOUTH 11TH AVENUE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39441",
            "telephone_number": "601-425-3033",
            "fax_number": "601-428-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 HIGHWAY 11 N",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394375050",
            "telephone_number": "601-425-3033",
            "fax_number": "601-428-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CONEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "601-425-3033"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laurelfhc-ms.com",
            "affiliation": "N",
            "endpointDescription": "Domain Name",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5192 Highway 11 N",
            "city": "Ellisville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394375050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.