| Claiborne County Hospital | |
|
123 Mccomb Ave Port Gibson MS 39150-2915 | |
| (601) 437-5141 | |
| Not Available |
| Full Name | Claiborne County Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 123 Mccomb Ave, Port Gibson, Mississippi |
| Authorized Official Name and Position | Charlie Norrell (PRESIDENT) |
| Authorized Official Contact | 6014375141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claiborne County Hospital Po Box 1004 123 Mccomb Avenue Port Gibson MS 39150-1004 Ph: (601) 437-5141 | Claiborne County Hospital 123 Mccomb Ave Port Gibson MS 39150-2915 Ph: (601) 437-5141 |
| NPI Number | 1528319027 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Medicare PECOS PAC ID | 9436308335 |
|---|---|
| Medicare Enrollment ID | O20220809003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528319027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 26-276 (Mississippi) | Primary |
| Provider Name | Marvell Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548365901 PECOS PAC ID: 2466351457 Enrollment ID: I20040108000414 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366544603 PECOS PAC ID: 6002896032 Enrollment ID: I20040721001010 |
| Provider Name | Deborah A Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396776514 PECOS PAC ID: 8325089832 Enrollment ID: I20050516000219 |
| Provider Name | Tanya S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487708525 PECOS PAC ID: 7517980295 Enrollment ID: I20060109000586 |
| Provider Name | Brian D Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154362606 PECOS PAC ID: 2961401997 Enrollment ID: I20061220000262 |
| Provider Name | Erin K Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952742736 PECOS PAC ID: 3779712799 Enrollment ID: I20140214000449 |
| Provider Name | Donald W Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786932 PECOS PAC ID: 7012274574 Enrollment ID: I20190319000079 |
| Provider Name | Lavechelle Pillers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477023596 PECOS PAC ID: 8820323447 Enrollment ID: I20220121001259 |
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 | |
At Home Care Community Outreach Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 306 Church St, Port Gibson, MS 39150 Phone: 601-437-3524 Fax: 601-437-3570 |