Healthcare Provider Details

I. General information

NPI: 1841450483
Provider Name (Legal Business Name): SIMPSON COMMUNITY HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 HIGHWAY 18
BRANDON MS
39042
US

IV. Provider business mailing address

P.O. BOX 580
PUCKETT MS
39151
US

V. Phone/Fax

Practice location:
  • Phone: 601-824-9490
  • Fax: 601-824-5855
Mailing address:
  • Phone: 601-824-9490
  • Fax: 601-824-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateMS

VIII. Authorized Official

Name: ALLEN W GARY III
Title or Position: COO
Credential:
Phone: 601-847-7125