DBA CHOCTAW HEALTH CENTER WOMEN'S WELLNESS - NPI 1053633230 - Case Manager/Care Coordinator in Choctaw, MS

Q: What is Ms Band Of Choctaw Indians's NPI number?

The NPI number for Ms Band Of Choctaw Indians is 1053633230. It was assigned to this organization in the NPPES registry on February 16, 2010. The provider is doing business as Dba Choctaw Health Center Women's Wellness.

Q: What is Ms Band Of Choctaw Indians's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

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About Dba Choctaw Health Center Women's Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA CHOCTAW HEALTH CENTER WOMEN'S WELLNESS (NPI 1053633230) is a healthcare organization registered as a case manager/care coordinator in Choctaw, Mississippi and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Phyllis J Anderson, Tribal Chief, as its authorized official.

NPPES Registry Identity

NPI1053633230

Entity TypeOrganization

Primary Taxonomy171M00000X

Legal Business NameMS BAND OF CHOCTAW INDIANS

Location Address210 HOSPITAL CIRChoctaw, MS 39350-6781

Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 656-2211 · Fax (601) 663-7721

Phone(601) 656-2211

Fax(601) 663-7721

Organization SubpartNo

Authorized OfficialPhyllis J AndersonTribal Chief · (601) 656-2211

Enumeration DateFebruary 16, 2010

Last NPPES UpdateJune 15, 2012

✔ NPI 1053633230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

210 HOSPITAL CIR, Choctaw, MS 39350

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Other Names 1

Doing Business AsDba Choctaw Health Center Women's Wellness

Other Identifiers 1

Medicaid09013321MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0706226

Choctaw Health Center · Choctaw, MS

Active · expires Jun 2, 2027

CLIA Number25D0706226

Laboratory TypeIhs-Mbci Tribal Facility

Certificate Effective DateJune 3, 2025

Certificate Expiration DateJune 2, 2027

Laboratory DirectorDr. Christina B. Wallace

Laboratory Phone(601) 389-4250

Laboratory LocationChoctaw Health Center210 Hospital Circle, Choctaw, MS 39350

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EDDIE D RUTHERFORD RPH

Pharmacist