Healthcare Provider Details

I. General information

NPI: 1477793305
Provider Name (Legal Business Name): NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N JEFFERSON ST
MACON MS
39341-2242
US

IV. Provider business mailing address

PO BOX 480
MACON MS
39341-0480
US

V. Phone/Fax

Practice location:
  • Phone: 662-726-4231
  • Fax: 662-726-5784
Mailing address:
  • Phone: 662-726-4231
  • Fax: 662-726-5784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANNY H MCKAY
Title or Position: ADMINISTRATOR
Credential:
Phone: 662-726-4231