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FAITH FAMILY CLINIC OF BOONEVILLE
NPI 1063911485
Clinic/Center - Primary Care in Booneville, MS

Active since February 12, 2018CLIA 25D1058512 · Certificate of Compliance
2209 N 2ND ST, BOONEVILLE, MS 38829(662) 728-0162(662) 728-0326 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Faith Family Clinic Of Booneville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAITH FAMILY CLINIC OF BOONEVILLE (NPI 1063911485) is a healthcare organization registered as a primary care in Booneville, Mississippi and active in the NPI registry since February 2018. The organization holds a CLIA Certificate of Compliance certificate valid through September 17, 2026 and lists Amber Janzen, Fnp, as its authorized official.

NPPES Registry Identity

NPI1063911485
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAITH FAMILY CLINIC OF BOONEVILLE
Location Address2209 N 2ND STBooneville, MS 38829-7734
Mailing Address2209 N 2nd StBooneville, MS 38829-7734 · (662) 728-0162 · Fax (662) 728-0326
Phone(662) 728-0162
Fax(662) 728-0326
Organization SubpartNo
Authorized OfficialAmber JanzenFnp · (662) 728-0162
Enumeration DateFebruary 12, 2018
✔ NPI 1063911485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · R871985
2209 N 2ND ST, Booneville, MS 38829
Open in Google Maps ↗

Other Identifiers 1

Medicaid05850217MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D1058512

Faith Family Clinic Of Booneville, LLC · Booneville, MS
Active · expires Sep 17, 2026
CLIA Number25D1058512
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorMrs. Molly Baker
Laboratory Phone(662) 728-0162
Laboratory LocationFaith Family Clinic Of Booneville, LLC2209 N 2nd St, Booneville, MS 38829
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRANDI JO LAMBERT FNP-C
Nurse Practitioner (Family)
2209 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-0162
FAITH FAMILY CLINIC, LLC
Clinic/Center (Primary Care)
2209 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-0162
MS. KELLY S. THORNTON FNP
Nurse Practitioner (Family)
2209 N 2ND ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-0162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faith Family Clinic Of Booneville's NPI number?

The NPI number for Faith Family Clinic Of Booneville is 1063911485. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is Faith Family Clinic Of Booneville located?

Faith Family Clinic Of Booneville is located at 2209 N 2nd St, Booneville, MS 38829. The listed phone number is (662) 728-0162.

What is Faith Family Clinic Of Booneville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Faith Family Clinic Of Booneville hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1058512) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Faith Family Clinic Of Booneville accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Faith Family Clinic Of Booneville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faith Family Clinic Of Booneville was last updated on February 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.