CLAIB CTY HSP PRO FEES NPI 1558480491

NPI Information

CLAIB CTY HSP PRO FEES is an emergency medical services emergency medicine in Port Gibson, MS. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. CLAIB CTY HSP PRO FEES NPI is 1558480491. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

123 MCCOMB AVE
PORT GIBSON, MS
ZIP 39150-915
Phone: (601) 437-5141
Fax: (601) 437-8547

The provider's authorized official is Ray L Shoemaker .
The authorized official title is Ceo and has the following contact phone number (662) 321-1155.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 6/14/2010.

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:

Other Identifiers

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