| Organization Name: | CLAY COUNTY MEDICAL CORPORATION |
| NPI Number: | 1043328313 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH A REPPERT (CFO) |
| Mailing Address: | 835 Medical Center Dr West Point |
| State: | MS US |
| Postal Code: | 397739320 |
| Phone Number: | 6624952128 |
| Fax Number: | 6624952361 |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 11/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 13-312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |