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NPI 1144339839

NPI 1144339839 : SIMPSON COMMUNITY HEALTHCARE, INC. : MENDENHALL, MS

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General NPI Number Information
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    NPI Number           |    1144339839
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIMPSON COMMUNITY HEALTHCARE, INC. 
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Dates
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    Enumeration Date     |    08/29/2006
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    Last Update Date     |    04/22/2008
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Provider Practice Location Address
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    Address Line         |    1842 SIMPSON HIGHWAY 149 
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    City                 |    MENDENHALL
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    State                |    MS
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    Zip                  |    39114-3438
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    Country              |    US
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    Telephone            |    601-847-2221
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    Fax                  |    601-847-7104
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Provider Business Mailing Address
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    Address Line         |    1842 SIMPSON HIGHWAY 149 
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    City                 |    MENDENHALL
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    State                |    MS
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    Zip                  |    39114-3438
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    Country              |    US
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    Telephone            |    601-847-2221
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    Fax                  |    601-847-7104
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MRS. AUDREY  WEDGEWORTH 
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    Credential           |    
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    Telephone            |    601-847-7214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    11216
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    License Number State |    MS
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