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CLAY COUNTY MEDICAL CORPORATION NPI 1578670972


NPI Information

NPI: 1578670972
Provider Name: CLAY COUNTY MEDICAL CORPORATION

Doing Business As: CLAY COUNTY MED CTR - ER PHYS

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
835 MEDICAL CENTER DR
WEST POINT, MS
ZIP 39773
Phone: (662) 495-2128
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CLAY COUNTY MEDICAL CORPORATION is an emergency care clinic center in West Point, MS. CLAY COUNTY MEDICAL CORPORATION NPI is 1578670972. The provider is registered as an organization entity type.
The provider Is Doing Business As Clay County Med Ctr - Er Phys.

The provider's business location address is:

835 MEDICAL CENTER DR
WEST POINT, MS
ZIP 39773-320
Phone: (662) 495-2128
Fax: (662) 495-2361

The provider's authorized official is Joseph A Reppert .
The authorized official title is Cfo and has the following contact phone number (662) 377-3978.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 11/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency Care13-312MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000019079OTHERMISSISSIPPIBLUE CROSS
29013498MEDICAIDMISSISSIPPI
3C00225MEDICARE PIN

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: 4/28/2024

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