COMPLETE CARE RURAL HEALTH CLINIC
NPI 1669835310
Clinic/Center - Rural Health in Vicksburg, MS
NPI Status: Active since March 31, 2016
Contact Information
1911 MISSION 66 STE B
VICKSBURG, MS
ZIP 39180
Phone: (601) 665-4162
Fax: (855) 830-3484
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 25D1068392
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-08-2027
About COMPLETE CARE RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Complete Care Rural Health Clinic, a primary care provider established in Vicksburg, Mississippi operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1669835310 assigned on March 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Complete Care Rural Health Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Complete Care Rural Health Clinic. The authorized official of this NPI record is Christopher J Watkins Np (Member)
- NPI
- 1669835310
- Provider Legal Name
- MDB BEHAVIORAL HEALTH SERVICES LLC
- Other Organization Name
- COMPLETE CARE RURAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1911 MISSION 66 STE B VICKSBURG, MS 39180
- Location Phone
- (601) 665-4162
- Location Fax
- (855) 830-3484
- Mailing Address
- 215 KATHERINE DRIVE SUITE A FLOWOOD, MS 39232
- Mailing Phone
- (601) 665-4162
- Mailing Fax
- (855) 830-3484
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2016
- Last Update Date
- 09-06-2023
- Code Navigator
A primary care provider (PCP) like Complete Care Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (MS) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 6500 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 007877558 | MEDICAID (05) | MS | |
| 001583061 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D1068392
- Facility Type
- Physician Office
- Certificate Effective Date
- May 09, 2025
- Certificate Expiration Date
- May 08, 2027
- Laboratory Director
- CHRIS J. WATKINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Complete Care Rural Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COMPLETE CARE RURAL HEALTH CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 3 | 5 | 3 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 3 | 10 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 3 + 1 + 0 + 3 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669835310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740474915 | MR. JOSEPH DANIEL JOHNSON LPC, LSW,NCC Individual | Counselor (Mental Health) | 1911 MISSION 66 STE B SUITE B VICKSBURG, MS 39180 (601) 631-0102 |
| 1942478144 | CENTRAL MISSISSIPPI PREVENTION SERVICES INC Organization | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 631-0102 |
| 1033872635 | KATHLEEN CHAPPELEAR LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1679084024 | DONALD ALLAN DEARMAN NURSE PRACTITIONER Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1033866835 | ANNA ADCOCK LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1396487112 | CAREY MARTIN LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1689256075 | TRACY DENISE WILSON FNP Individual | Nurse Practitioner (Family) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1033830641 | KAYLA MORIARTY LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1447359757 | MRS. ANDREA LASHUN WATTS C5643 Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1922374057 | TONI L LADNER PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1750857769 | LINDA BONE THOMAS PMHNP-BC, FNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 665-4162 |
| 1649419334 | MRS. LESIA THOMAS FNP-C Individual | Nurse Practitioner (Family) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 456-2598 |
| 1396245056 | ANGELA JONES FNP Individual | Nurse Practitioner (Family) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 456-2598 |
| 1306126271 | BONNY SAUCIER CFNP Individual | Nurse Practitioner | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 456-2598 |
| 1043713167 | JENIFER JUSTICE CRNP Individual | Nurse Practitioner (Family) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (014) 562-5986 |
| 1689488876 | CORA DENISE JACKSON DSW, LCSW, ACSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 456-2598 |
| 1467249326 | KELLY MAPLES LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (601) 456-2598 |
| 1356850960 | COTY BOURQUE LCSW Individual | Social Worker (Clinical) | 1911 MISSION 66 STE B VICKSBURG, MS 39180 (337) 519-7797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669835310, enumerated in the NPI registry as an "organization" on March 31, 2016
The provider is located at 1911 Mission 66 Ste B Vicksburg, Ms 39180 and the phone number is (601) 665-4162
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D1068392 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 31, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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