Misissippi Providence Healthcare Services, Inc.
NPI 1639429970ActiveOrganization· Family Medicine· Moss Point, MS
Family Medicine in Moss Point, Mississippi, registered in NPPES in September 2012. The authorized official on file is Clark P. Christianson, President.
Overview
| NPI | 1639429970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2012 |
| Last updated in NPPES | Jan 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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