A W Watson Elementary School Base Clinic
LBN: Claiborne County Family Health Center, Inc.
A W Watson Elementary School Base Clinic is an health care organization with primary practice located at 880 Anthony St 2045 Highway 61 North, Port Gibson MS 39150-2050. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Claiborne County Family Health Center, Inc. can be contacted via phone (601) 437-0257, or through Davis, Ladonna via phone (601) 437-3050.
Contact Information
Primary practice address
880 Anthony St 2045 Highway 61 North
Port Gibson MS 39150-2050
Phone: (601) 437-0257
Fax: (601) 437-3944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Mississippi |
Profile Details
| NPI number | 1235394966 |
|---|---|
| LBN Legal business name | Claiborne County Family Health Center, Inc. |
| DBA Doing business as | A W Watson Elementary School Base Clinic |
| Authorized official | Davis, Ladonna |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Dec 19th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235394966 | NPPES |
| Mississippi | MEDICAID | 03905718 |
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