Organization Name: | CHOCTAW COUNTY |
NPI Number: | 1457666083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS F HIGGINS (PRESIDENT OF THE BOARD) |
Mailing Address: | 311 W Cherry St Ackerman |
State: | MS US |
Postal Code: | 397358708 |
Phone Number: | 6018491682 |
Fax Number: | 6018491969 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |