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General NPI Number Information
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NPI Number | 1972826121
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Entity Type | Organization
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Legal Business Name | COPIAH COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 27190 HIGHWAY 28
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City | HAZLEHURST
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State | MS
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Zip | 39083-2224
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Country | US
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Telephone | 601-574-7000
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Fax | 601-574-7216
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Provider Business Mailing Address
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Address Line | 27190 HIGHWAY 28
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City | HAZLEHURST
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State | MS
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Zip | 39083-2224
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Country | US
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Telephone | 601-574-7000
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Fax | 601-574-7216
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | HALLE RUSSELL
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Credential |
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Telephone | 601-574-7233
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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 | 11-164
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License Number State | MS
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