Provider Demographics
NPI:1629530795
Name:A PORT IN THE STORM (APITS)
Entity Type:Organization
Organization Name:A PORT IN THE STORM (APITS)
Other - Org Name:APITS HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / PROGRAM MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:DPSC
Authorized Official - Phone:855-427-4874
Mailing Address - Street 1:PO BOX 1498
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38829-6498
Mailing Address - Country:US
Mailing Address - Phone:855-427-4874
Mailing Address - Fax:855-427-4874
Practice Address - Street 1:102 N. CASS STREET, SUITE B
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834
Practice Address - Country:US
Practice Address - Phone:855-427-4874
Practice Address - Fax:855-427-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty