Healthcare Provider Details

I. General information

NPI: 1386136752
Provider Name (Legal Business Name): ACCESS FAMILY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 S PONTOTOC RD
PONTOTOC MS
38863-9382
US

IV. Provider business mailing address

PO BOX 305
SMITHVILLE MS
38870-0305
US

V. Phone/Fax

Practice location:
  • Phone: 662-489-5941
  • Fax: 662-489-1757
Mailing address:
  • Phone: 662-651-4637
  • Fax: 662-651-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MARILYN SUMERFORD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 662-651-4637