MISSISSIPPICARE 113 – NPI #1699292797
Clinic/Center

MISSISSIPPICARE 113 is an AHC clinic located in PONTOTOC, MS. NPPES has assigned the NPI number 1699292797 to MISSISSIPPICARE 113 on August 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MISSISSIPPICARE 113” is a dba name, the actual legal business name for this organization is ARCARE. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Jan 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSISSIPPICARE 113 below.

NPI Profile for
ARCARE

NPI Number
1699292797
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARCARE
Doing Business As (dba): MISSISSIPPICARE 113
Primary location
353 HIGHWAY 15 N
PONTOTOC, MS 38863-1103
Phone: (662) 490-1985 Fax: (662) 490-1989
Mailing address
PO BOX 497
AUGUSTA, AR 72006-0497
Phone: (870) 347-2534 Fax: (870) 347-2023
Organization Subpart
No
Authorized Official
STEVEN COLLIER
CEO
Phone: (870) 347-2534
Updated
Certification Date
Jan 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MISSISSIPPICARE 113

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09322257
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.