| P G Middle School School Base Clinic | |
|
161 Ramsey Dr 2045 Highway 61 North Port Gibson MS 39150-2531 | |
| (601) 437-9021 | |
| (601) 437-3051 |
| Full Name | P G Middle School School Base Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 161 Ramsey Dr, Port Gibson, Mississippi |
| Authorized Official Name and Position | Ladonna Davis (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6014373050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P G Middle School School Base Clinic 2045 Highway 61 N P O Box 741 Port Gibson MS 39150-4262 Ph: (601) 437-9021 | P G Middle School School Base Clinic 161 Ramsey Dr 2045 Highway 61 North Port Gibson MS 39150-2531 Ph: (601) 437-9021 |
| NPI Number | 1881859338 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881859338 | NPI | - | NPPES |
| 03907367 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Claiborne County Medical Center Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 | |
Port Gibson Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Ramsey Dr, Port Gibson, MS 39150 Phone: 601-437-4251 | |
Ccfhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-3049 Fax: 601-437-3051 | |
A W Watson Elementary School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-0257 Fax: 601-437-3944 | |
Claiborne County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-5130 | |
Family Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703b Farmer St, Port Gibson, MS 39150 Phone: 601-437-5668 Fax: 601-437-4533 | |
Patients Choice Medical Center Of Claiborne County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 |