CLAIBORNE COUNTY HOSPITAL NPI 1710238324

NPI Information

NPI: 1710238324
Provider Name: CLAIBORNE COUNTY HOSPITAL
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
123 MCCOMB AVE
PORT GIBSON, MS
ZIP 39150
Phone: (601) 437-5141
Get Directions

CLAIBORNE COUNTY HOSPITAL 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. CLAIBORNE COUNTY HOSPITAL NPI is 1710238324. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

The provider's authorized official is Charlie Norrell .
The authorized official title is President and has the following contact phone number (601) 437-5141.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 1/30/2014.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	26-276	MISSISSIPPI	No
2	2085R0202X	Radiology	Diagnostic Radiology	26-276	MISSISSIPPI	No
3	207PE0004X	Emergency Medicine	Emergency Medical Services	26-276	MISSISSIPPI	Yes

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
1	09013195	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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