ELLISVILLE STATE SCHOOL NPI 1720181191

NPI Details

ELLISVILLE STATE SCHOOL is a health maintenance organization in Ellisville, MS. The provider is (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. ELLISVILLE STATE SCHOOL NPI is 1720181191. The provider is registered as an organization entity type.
The provider Is Doing Business As Clover Circle Icf/mr.

The provider's business location address is:

1101 HIGHWAY 11 S
ELLISVILLE, MS
ZIP 39437-443
Phone: (601) 477-9384
Fax: (601) 477-5700

The provider's authorized official is Pam K Young .
The authorized official title is Accounting Auditor 1 and has the following contact phone number (601) 477-5606.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.