FAMILY MEDICAL CLINIC VARDAMAN
NPI 1467177683
Clinic/Center - Rural Health in Vardaman, MS

Active since October 10, 2022CLIA 25D2272221 · Waiver
310 W SWEET POTATO ST STE B, VARDAMAN, MS 38878(662) 567-1282 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2023, Nov 28, 2022, Nov 10, 2022 and 1 more (4 updates tracked since 2022).

About Family Medical Clinic Vardaman NPPES

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

FAMILY MEDICAL CLINIC VARDAMAN (NPI 1467177683) is a healthcare organization registered as a rural health in Vardaman, Mississippi and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Jana Earnest, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467177683
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameALTHEACARE LLC
Location Address310 W SWEET POTATO ST STE BVardaman, MS 38878-8405
Mailing AddressPo Box 207Vardaman, MS 38878-0207 · (662) 567-1283
Organization SubpartNo
Authorized OfficialJana EarnestOffice Manager · (662) 567-1283
Enumeration DateOctober 10, 2022
Last NPPES UpdateFebruary 9, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1467177683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
310 W SWEET POTATO ST STE B, Vardaman, MS 38878

Other Names 1

Doing Business AsFamily Medical Clinic Vardaman

Accepted 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 Waiver 25D2272221

Family Medical Clinic Vardaman · Vardaman, MS
Active · expires Nov 15, 2026
CLIA Number25D2272221
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorAmanda B. Mahan
Laboratory Phone(662) 567-1282
Laboratory LocationFamily Medical Clinic Vardaman310 W Sweet Potato St Ste B, Vardaman, MS 38878
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Altheacare LLC's NPI number?

The NPI number for Altheacare LLC is 1467177683. It was assigned to this organization in the NPPES registry on October 10, 2022. The provider is doing business as Family Medical Clinic Vardaman.

Where is Altheacare LLC located?

Altheacare LLC is located at 310 W Sweet Potato St Ste B, Vardaman, MS 38878. The listed phone number is (662) 567-1282.

What is Altheacare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Altheacare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2272221) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Altheacare LLC 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 Altheacare LLC 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 Altheacare LLC was last updated on February 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.