CHARLES C GIBSON (NPI# 1992348551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992348551 |
| Entity Type | Individual |
| Full Name | CHARLES C GIBSON |
| Practice Address |
1404 E Church St Warren AR 71671 |
| Mailing Address |
790 Roberts Dr Monticello AR 71655-5723 |
| Practice Telephone | 8702266955 |
| Mailing Telephone | 8707235324 |
| Mailing Fax Number | 8704606133 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
| 1528028073 | Charles F Gibson | Psychologist | 210 E Milltown Rd Ste B, Wooster, OH 44691-1200 | 2006-03-27 |
| 1205830262 | Charles Robert Gibson | Optometrist | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | 2005-06-08 |
| 1003423013 | Charles Keith Gibson | In Home Supportive Care | 4110 Ann Elise Ct, Fairfield Township, OH 45011-6211 | 2020-09-24 |
| 1740596402 | Charles Jerard Gibson | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2010-08-19 |
| 1598975112 | Charles Gibson | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-05-23 |
| 1285772350 | Charles Gary Gibson | Dentist | 2068 Bridgeport Ave, Milford, CT 06460-4634 | 2007-02-02 |
| 1972673432 | Charles Gibson | Optometrist | 2425 Zero St, Fort Smith, AR 72901-8663 | 2006-11-09 |
| 1780778365 | Charles Brooks Gibson | Counselor | 283 Biltmore Ave, Asheville, NC 28801-4157 | 2006-10-03 |
| Street Address |
1404 E CHURCH ST |
| City | WARREN |
| State | AR |
| Zip Code | 71671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
| 1942866652 | Amanda Pennington | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-05-17 |
| 1003131079 | Galen S Robinson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1558602003 | Kelley M Hollingsworth | Licensed Practical Nurse | 1404 East Church Street, Warren, AR 71671 | 2013-03-08 |
| 1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
| 1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
| 1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
| 1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
| 1679080444 | Stephanie M Harper | Counselor | 1404 East Church Street, Warren, AR 71671 | 2018-01-03 |
| 1003941352 | Sabrina York | Case Manager/Care Coordinator | 1404 E Church, Warren, AR 71671 | 2007-02-23 |
| Find all providers in zip 71671 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604970 | Ophelia Williams | Case Manager/Care Coordinator | 3200 Clearwater St Nw, Warren, OH 44485-2218 | 2020-03-18 |
| 1851878151 | Scott Christopher Van Cure | Case Manager/Care Coordinator | 744 Champion Ave E, Warren, OH 44483-1510 | 2018-07-19 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1609319862 | Ashlie Mitchell | Case Manager/Care Coordinator | 12220 E 13 Mile Rd Ste 300, Warren, MI 48093-5000 | 2016-11-21 |
| 1235580234 | Ashley Danielle Brown | Case Manager/Care Coordinator | 2245 Shalom Ave Nw, Warren, OH 44483-3259 | 2016-06-30 |
| 1790015626 | Danyelle Hugaboom | Case Manager/Care Coordinator | 1175 Parkman Rd Nw, Warren, OH 44485-2468 | 2009-12-25 |
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1326649245 | Samantha Channell | Case Manager/Care Coordinator | 320 High St Ne, Warren, OH 44481-1222 | 2020-11-06 |
| 1700424793 | Michelene Zalac | Case Manager/Care Coordinator | 318 Mahoning Ave Nw, Warren, OH 44483-4605 | 2019-12-20 |
| 1700424009 | Candace La'che Jones | Case Manager/Care Coordinator | 150 E Market St, Warren, OH 44481-1141 | 2019-12-17 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.