Provider Demographics
NPI:1902398381
Name:ACCESS FAMILY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ACCESS FAMILY HEALTH SERVICES, INC.
Other - Org Name:ACCESS SCHOOL HEALTH - NORTH PONTOTOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DATA & REPORTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-651-4637
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38870-0305
Mailing Address - Country:US
Mailing Address - Phone:662-651-4637
Mailing Address - Fax:662-651-4685
Practice Address - Street 1:8324 HIGHWAY 15 N
Practice Address - Street 2:
Practice Address - City:ECRU
Practice Address - State:MS
Practice Address - Zip Code:38841-9749
Practice Address - Country:US
Practice Address - Phone:662-489-5613
Practice Address - Fax:662-488-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)