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CCFHC
NPI 1235133968
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Gibson, MS

Active since June 10, 2005
2045 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150(601) 437-3049(601) 437-3051 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ccfhc NPPES

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

CCFHC (NPI 1235133968) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Gibson, Mississippi and active in the NPI registry since June 2005. The organization lists Ladonna Beasley Davis, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1235133968
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLAIBORNE COUNTY FAMILY HEALTH CENTER
Location Address2045 HIGHWAY 61 NORTHPort Gibson, MS 39150-4262
Mailing Address2045 Highway 61 N, P O Box 741Port Gibson, MS 39150-4262 · (601) 437-3049 · Fax (601) 437-3051
Phone(601) 437-3049
Fax(601) 437-3051
Organization SubpartNo
Authorized OfficialLadonna Beasley DavisChief Operating Officer · (601) 437-3052
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1235133968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2045 HIGHWAY 61 NORTH, Port Gibson, MS 39150
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Other Names 1

Other NameCcfhc

Other Identifiers 3

Medicare UPINC00946MS
Medicaid09010054MS
Medicare OSCAR/certification251827MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

KEITH D BISHOP DDS
Dentist (General Practice)
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3050
DEMETRI W MARSHALL M.D.
Family Medicine
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3050
MARVELL SPEARS FNP
Nurse Practitioner (Family)
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS 39150
Claiborne County (601) 437-3050

Frequently Asked Questions

What is CLAIBORNE COUNTY FAMILY HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1235133968, enumerated as an "organization" on June 10, 2005.

Where is the provider located?

The provider is located at 2045 HIGHWAY 61 NORTH PORT GIBSON, MS 39150 and the phone number is (601) 437-3049.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does CLAIBORNE COUNTY FAMILY HEALTH CENTER accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.