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A W WATSON ELEMENTARY SCHOOL BASE CLINIC
NPI 1235394966
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Gibson, MS

Active since July 22, 2008CLIA 25D0689735 · Microscopy
880 ANTHONY ST, 2045 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150(601) 437-0257(601) 437-3944 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About A W Watson Elementary School Base Clinic NPPES

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

A W WATSON ELEMENTARY SCHOOL BASE CLINIC (NPI 1235394966) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Gibson, Mississippi and active in the NPI registry since July 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Ladonna Davis, Chief Operating Officers, as its authorized official.

NPPES Registry Identity

NPI1235394966
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.
Location Address880 ANTHONY ST, 2045 HIGHWAY 61 NORTHPort Gibson, MS 39150-2050
Mailing Address2045 Highway 61 N, P O Box 741Port Gibson, MS 39150-4262 · (601) 437-0257 · Fax (601) 437-3944
Phone(601) 437-0257
Fax(601) 437-3944
Organization SubpartNo
Authorized OfficialLadonna DavisChief Operating Officers · (601) 437-3050
Enumeration DateJuly 22, 2008
Last NPPES UpdateDecember 19, 2011
✔ NPI 1235394966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
880 ANTHONY ST, Port Gibson, MS 39150
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Other Names 1

Doing Business AsA W Watson Elementary School Base Clinic

Other Identifiers 2

Medicaid03905718MS
Medicare OSCAR/certification251958MS

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 25D0689735

Claiborne County Family Health Center · Port Gibson, MS
Active · expires Aug 31, 2026
CLIA Number25D0689735
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMheja M. Williams
Laboratory Phone(601) 437-3050
Laboratory LocationClaiborne County Family Health Center2045 Hwy 61 North, Port Gibson, MS 39150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

CLAIBORNE COUNTY SCHOOL DISTRICT
Local Education Agency (LEA)
880 ANTHONY ST
PORT GIBSON, MS 39150
Claiborne County (601) 437-5070

Frequently Asked Questions

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

The NPI number assigned to this healthcare provider is 1235394966, enumerated as an "organization" on July 22, 2008.

Where is the provider located?

The provider is located at 880 ANTHONY ST 2045 HIGHWAY 61 NORTH PORT GIBSON, MS 39150 and the phone number is (601) 437-0257.

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, INC. accept?

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