Provider Demographics
NPI:1265963623
Name:ACCESS FAMILY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ACCESS FAMILY HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-651-4686
Mailing Address - Street 1:7230 HIGHWAY 45 N STE B
Mailing Address - Street 2:
Mailing Address - City:NETTLETON
Mailing Address - State:MS
Mailing Address - Zip Code:38858-9399
Mailing Address - Country:US
Mailing Address - Phone:662-963-5050
Mailing Address - Fax:662-963-5051
Practice Address - Street 1:7230 HIGHWAY 45 N STE B
Practice Address - Street 2:
Practice Address - City:NETTLETON
Practice Address - State:MS
Practice Address - Zip Code:38858-9399
Practice Address - Country:US
Practice Address - Phone:662-963-5050
Practice Address - Fax:662-963-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)