NPI Code Details Logo

NPI 1639284409

NPI 1639284409 : CLAY COUNTY MEDICAL CORPORATION : WEST POINT, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639284409
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLAY COUNTY MEDICAL CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/20/2006
-----------------------------------------------------
    Last Update Date     |    11/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    150 MEDICAL CENTER DR 
-----------------------------------------------------
    City                 |    WEST POINT
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39773-0428
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    662-495-2300
-----------------------------------------------------
    Fax                  |    662-495-2361
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    150 MEDICAL CENTER DR 
-----------------------------------------------------
    City                 |    WEST POINT
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39773-0428
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    662-495-2300
-----------------------------------------------------
    Fax                  |    662-495-2361
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CORPORATE SECRETARY
-----------------------------------------------------
    Name                 |    MR. BRUCE  TOPPIN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    662-377-4229
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    282N00000X
-----------------------------------------------------
    Taxonomy Name        |    General Acute Care Hospital
-----------------------------------------------------
    License Number       |    13-312
-----------------------------------------------------
    License Number State |    MS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.