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NPI Code Detail

MEDICARE: PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC

MEDICARE: PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1831340363
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC
Provider Business Mailing Address
First Line : PO BOX 1807
Second Line :
City : TUPELO
State : MS
Zip : 38802-1807
Country : US
Telephone Number : 662-840-0196
Fax Number : 662-840-0198
Provider Business Practice Location Address
First Line : 123 MCCOMB AVE
Second Line :
City : PORT GIBSON
State : MS
Zip : 39150-2915
Country : US
Telephone Number : 601-437-5141
Fax Number : 601-437-3782
Authorized Official
Title or Position : CEO
Name : ELSTON C KEMP
Credential :
Telephone Number : 662-840-0196
Provider Enumeration Date : 10/02/2008
Last Update Date : 08/28/2012

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Directions to “PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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