Organization
CLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.
Active
Organization
CLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.
Active
Other names
A W Watson Elementary School Base Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA DAVIS (CHIEF OPERATING OFFICERS)
(601) 437-3050
Entity
Organization
Contact information
Practice address
880 ANTHONY ST, 2045 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150-2050
(601) 437-0257
(601) 437-3944
Mailing address
2045 HIGHWAY 61 N, P O BOX 741, PORT GIBSON, MS 39150-4262
(601) 437-0257
(601) 437-3944
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03905718
—
MS
Enumeration date
07/22/2008
Last updated
12/19/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up