Complete Care Rural Health Clinic
LBN: Mdb Behavioral Health Services Llc
Complete Care Rural Health Clinic is an health care organization with primary practice located at 1911 Mission 66 Ste B , Vicksburg MS 39180-3762. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mdb Behavioral Health Services Llc can be contacted via phone (601) 665-4162, or through Watkins, Christopher J via phone (601) 951-9863.
Contact Information
Primary practice address
1911 Mission 66 Ste B
Vicksburg MS 39180-3762
Phone: (601) 665-4162
Fax: (855) 830-3484
Website:
Authorized official contact:
Name: Watkins, Christopher J Nurse Practitioner (NP)
Phone: (601) 951-9863
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Mississippi | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1669835310 |
|---|---|
| LBN Legal business name | Mdb Behavioral Health Services Llc |
| DBA Doing business as | Complete Care Rural Health Clinic |
| Authorized official | Watkins, Christopher J Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Sep 6th, 2023 - about 2 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 | 1669835310 | NPPES |
| Mississippi | MEDICAID | 007877558 | |
| Mississippi | MEDICAID | 001583061 |
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