Organization Name: | PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC |
NPI Number: | 1114951324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELSTON C KEMP (CEO) |
Mailing Address: | 500 C C Rd Belzoni |
State: | MS US |
Postal Code: | 390383806 |
Phone Number: | 6622473831 |
Fax Number: | 6622474114 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 21-169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |