Choctaw Regional Medical Center

LBN: Choctaw Regional Medical Center
Choctaw Regional Medical Center is an health care organization with primary practice located at 8613 Ms Highway 12 , Ackerman MS 39735-8917. The organization recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Choctaw Regional Medical Center can be contacted via phone (662) 285-4400, or through Hollingsworth Wells, Susan via phone (662) 285-9460.

Contact Information

Primary practice address
8613 Ms Highway 12 Ackerman MS 39735-8917
Phone: (662) 285-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hollingsworth Wells, Susan
Phone: (662) 285-9460

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1568879864
LBN Legal business name Choctaw Regional Medical Center
DBA Doing business as Choctaw Regional Medical Center
Authorized official Hollingsworth Wells, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2014
Last updated Apr 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568879864 NPPES
Mississippi MEDICAID 00431215

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