| Organization Name: | PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC |
| NPI Number: | 1801047451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELSTON C KEMP (CEO) |
| Mailing Address: | 123 Mccomb Ave Port Gibson |
| State: | MS US |
| Postal Code: | 391502915 |
| Phone Number: | 6014375141 |
| Fax Number: | 6014373782 |
| NPI Enumeration Date: | 10/01/2008 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 21276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |