Healthcare Provider Details
I. General information
NPI: 1457453730
Provider Name (Legal Business Name): ACCESS FAMILY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60021 MONROE ST
SMITHVILLE MS
38870-7779
US
IV. Provider business mailing address
PO BOX 305
SMITHVILLE MS
38870-0305
US
V. Phone/Fax
- Phone: 662-651-4637
- Fax: 662-651-4636
- Phone: 662-651-4637
- Fax: 662-651-4636
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MARILYN
SUMERFORD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 662-651-4686