MEDICARE: NOXUBEE COUNTY NURSING HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	682	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699764159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOXUBEE COUNTY NURSING HOME

Provider Business Mailing Address
First Line	:	PO BOX 480
Second Line	:
City	:	MACON
State	:	MS
Zip	:	39341-0480
Country	:	US
Telephone Number	:	662-726-2097
Fax Number	:	662-726-9588

Provider Business Practice Location Address
First Line	:	606 NORTH JEFFERSON
Second Line	:
City	:	MACON
State	:	MS
Zip	:	39341-0480
Country	:	US
Telephone Number	:	662-726-2097
Fax Number	:	662-726-9588

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DANNY HOGT MCKAY
Credential	:	MBA NHA
Telephone Number	:	662-726-4231

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1679661086 — MRS. PATTY MELISA HORTON NP
Practice Location Address:

606 N JEFFERSON ST
MACON, MS
39341-0480

Practice Phone: 662-726-4620
Practice Fax: 662-726-4204

1730148123 — MS. ROSIE ANN WILBON N. P.
Practice Location Address:

606 N JEFFERSON ST
MACON, MS
39341-2242

Practice Phone: 662-726-4264
Practice Fax: 662-726-4956

1902844194 — NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Practice Location Address:

606 NORTH JEFFERSON STREET
MACON, MS
39341

Practice Phone: 662-726-4231
Practice Fax: 662-726-5784

1346273588 — MACON CITY DRUG STORE, INC.
Practice Location Address:

3281 JEFFERSON ST
MACON, MS
39341-2279

Practice Phone: 662-726-5143
Practice Fax: 662-726-5183

1679507024 — DR. NAIM U. RAHMAN M.D.
Practice Location Address:

606 NORTH JEFFERSON STREET
MACON, MS
39341

Practice Phone: 662-726-4620
Practice Fax: 662-726-4204

1770594368 — PHILIP S. LEE MD
Practice Location Address:

78 HOSPITAL RD
MACON, MS
39341-2490

Practice Phone: 662-726-4264
Practice Fax:

Directions to “NOXUBEE COUNTY NURSING HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.