The Myers Foundation Christian Family Health Centers

Primary specialty

SpecialistTaxonomy code 174400000X

License

11615 Issued in MS

Legal business name

THE MYERS FOUNDATION CHRISTIAN FAMILY HEALTH CENTERS

Practice address

15548 Hwy. 49 East
Suite a
Tchula, MS 39169

Phone

(662) 235-4227

Fax

(662) 247-4767

NPI assigned

Mar 17, 2009

Last updated

Mar 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald V Myers Sr., M.D.

Title

Founder/President

Phone

(662) 235-4227

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1992946263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "391690637",
            "telephone_number": "662-235-4227",
            "fax_number": "662-247-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15548 HWY. 49 EAST",
            "address_2": "SUITE A",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "39169",
            "telephone_number": "662-235-4227",
            "fax_number": "662-247-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MYERS FOUNDATION CHRISTIAN FAMILY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "662-235-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "11615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9013861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tchula, MS
• Providers in Tchula, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.