Provider Demographics
NPI:1891003026
Name:UNITED METHODIST MINISTRY WITH CHILDREN AND FAMILIES, INC.
Entity Type:Organization
Organization Name:UNITED METHODIST MINISTRY WITH CHILDREN AND FAMILIES, INC.
Other - Org Name:METHODIST CHILDREN'S HOMES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-853-5000
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39060-0066
Mailing Address - Country:US
Mailing Address - Phone:601-853-5000
Mailing Address - Fax:601-853-5010
Practice Address - Street 1:805 N FLAG CHAPEL RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-2208
Practice Address - Country:US
Practice Address - Phone:601-853-5000
Practice Address - Fax:601-853-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03078895Medicaid