MISSISSIPPI BAND OF CHOCTAW INDIANS is a public health and federal clinic center in Conehatta, MS. MISSISSIPPI BAND OF CHOCTAW INDIANS NPI is 1013092600. The provider is registered as an organization entity type. The provider Is Doing Business As Conehatta Satellite Clinic.
The provider's business location address is:
376 CAMPUS RD CONEHATTA, MS ZIP 39057-800 Phone: (601) 656-2211 Fax: (601) 663-7721
The provider's authorized official is Phyllils J Anderson . The authorized official title is Tribal Chief and has the following contact phone number (601) 656-2211.
The CLIA number assigned to this NPI record is 25D0706154 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/15/2012.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 3/30/2025
NPI Synchronization or Removal
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