Healthcare Provider Details

I. General information

NPI: 1790872018
Provider Name (Legal Business Name): NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 HOSPITAL RD
MACON MS
39341-2490
US

IV. Provider business mailing address

PO BOX 480
MACON MS
39341-0480
US

V. Phone/Fax

Practice location:
  • Phone: 662-726-4264
  • Fax: 662-726-4204
Mailing address:
  • Phone: 662-726-4264
  • Fax: 662-726-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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