CLAIB CTY HSP PRO FEES NPI 1558480491

NPI Information

  • NPI: 1558480491
  • Provider Name: CLAIB CTY HSP PRO FEES
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 123 MCCOMB AVE
    PORT GIBSON, MS
    ZIP 39150
  • Phone: (601) 437-5141

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207PE0004XEmergency MedicineEmergency Medical ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000019140OTHERMISSISSIPPIPROF FEE
2C00214MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
3C02060MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
409013195MEDICAIDMISSISSIPPI
509013197MEDICAIDMISSISSIPPI
609013196MEDICAIDMISSISSIPPI

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: 11/21/2025

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