CLOVER CIRCLE ICF/MR
NPI 1720181191
Health Maintenance Organization in Ellisville, MS

Active since September 07, 2006
1101 HIGHWAY 11 S, ELLISVILLE, MS 39437(601) 477-9384(601) 477-5700 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clover Circle Icf/mr NPPES

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

CLOVER CIRCLE ICF/MR (NPI 1720181191) is a healthcare organization registered as a health maintenance organization in Ellisville, Mississippi and active in the NPI registry since September 2006. The organization lists Pam K Young, Accounting Auditor 1, as its authorized official.

NPPES Registry Identity

NPI1720181191
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameELLISVILLE STATE SCHOOL
Location Address1101 HIGHWAY 11 SEllisville, MS 39437-4443
Mailing Address1101 Highway 11 SEllisville, MS 39437-4443 · (601) 477-9384 · Fax (601) 477-5700
Fax(601) 477-5700
Organization SubpartNo
Authorized OfficialPam K YoungAccounting Auditor 1 · (601) 477-5606
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJune 12, 2008
NPI 1720181191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in MS · 233
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1101 HIGHWAY 11 S, Ellisville, MS 39437

Other Names 1

Doing Business AsClover Circle Icf/mr

Other Identifiers 1

Medicaid00021831MS

Other Providers at the Same Location NPPES 11

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

Dentist
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Technician
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nursing Facility/Intermediate Care Facility
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Dentist
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Emergency Medicine
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nursing Facility/Intermediate Care Facility
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nurse Practitioner (Family)
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Pharmacy (Long Term Care Pharmacy)
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellisville State School's NPI number?

The NPI number for Ellisville State School is 1720181191. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Clover Circle Icf/Mr.

Where is Ellisville State School located?

Ellisville State School is located at 1101 Highway 11 S, Ellisville, MS 39437. The listed phone number is (601) 477-9384.

What is Ellisville State School's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Ellisville State School was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.