| At Home Care Community Outreach Inc. | |
|
306 Church St Port Gibson MS 39150-2108 | |
| (601) 437-3524 | |
| (601) 437-3570 |
| Full Name | At Home Care Community Outreach Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 Church St, Port Gibson, Mississippi |
| Authorized Official Name and Position | Dorothy Jeanette Felton (CEO) |
| Authorized Official Contact | 6014373524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Care Community Outreach Inc. 306 Church St Port Gibson MS 39150-2108 Ph: (601) 437-3524 | At Home Care Community Outreach Inc. 306 Church St Port Gibson MS 39150-2108 Ph: (601) 437-3524 |
| NPI Number | 1659888998 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Medicare PECOS PAC ID | 2264848126 |
|---|---|
| Medicare Enrollment ID | O20210302000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659888998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Mississippi) | Primary |
| Provider Name | Charlene D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104851161 PECOS PAC ID: 6901861574 Enrollment ID: I20041123000198 |
| Provider Name | Tanya Linette Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053753194 PECOS PAC ID: 3577792597 Enrollment ID: I20140214000525 |
| Provider Name | Tribia Frye Lockhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467712463 PECOS PAC ID: 2466833736 Enrollment ID: I20220718001959 |
Patients Choice Medical Center Of Claiborne County Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-3782 | |
Claiborne County Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 Fax: 601-437-8547 | |
Southern Communities Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Greenwood St, Port Gibson, MS 39150 Phone: 601-448-5171 | |
Claiborne County Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 123 Mccomb Ave, Port Gibson, MS 39150 Phone: 601-437-5141 |