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CHOCTAW REGIONAL MEDICAL CENTER NPI 1235547878


NPI Information

NPI: 1235547878
Provider Name: CHOCTAW REGIONAL MEDICAL CENTER

Doing Business As: CHOCTAW MEDICAL CLINIC OF ACKERMAN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 25D2052354

Address:
64 N LOUISVILLE ST
ACKERMAN, MS
ZIP 39735
Phone: (662) 285-9050
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CHOCTAW REGIONAL MEDICAL CENTER is a rural health clinic center in Ackerman, MS. CHOCTAW REGIONAL MEDICAL CENTER NPI is 1235547878. The provider is registered as an organization entity type.
The provider Is Doing Business As Choctaw Medical Clinic Of Ackerman.

The provider's business location address is:

64 N LOUISVILLE ST
ACKERMAN, MS
ZIP 39735-217
Phone: (662) 285-9050

The provider's authorized official is Susan Hollingsworth Wells .
The authorized official title is Administrator and has the following contact phone number (662) 285-9460.

The CLIA number assigned to this NPI record is 25D2052354 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2014 and was last updated on 4/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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