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NPI Code Detail

MEDICARE: CHOCTAW COUNTY

MEDICARE: CHOCTAW COUNTY
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
1275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1821303231
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOCTAW COUNTY
Provider Business Mailing Address
First Line : 311 W CHERRY ST
Second Line :
City : ACKERMAN
State : MS
Zip : 39735-8708
Country : US
Telephone Number : 601-849-1682
Fax Number : 601-849-1969
Provider Business Practice Location Address
First Line : 311 W CHERRY ST
Second Line :
City : ACKERMAN
State : MS
Zip : 39735-8708
Country : US
Telephone Number : 601-849-1682
Fax Number : 601-849-1969
Authorized Official
Title or Position : PRESIDENT OF THE BOARD
Name : MR. THOMAS F HIGGINS SR.
Credential :
Telephone Number : 662-285-6329
Provider Enumeration Date : 08/10/2010
Last Update Date : 09/20/2011

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Directions to “CHOCTAW COUNTY ” Practice Location

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