Cch Clinic Family Medical

LBN: Covington County Hospital
Cch Clinic Family Medical is an health care organization with primary practice located at 301 Hospital Blvd , Collins MS 39428-4225. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Covington County Hospital can be contacted via phone (601) 765-3180, or through Evans, Anissa L via phone (601) 698-0328.

Contact Information

Primary practice address
301 Hospital Blvd Collins MS 39428-4225
Phone: (601) 765-3180
Fax: (601) 765-2808
Website:
Map and Directions
Authorized official contact:
Name: Evans, Anissa L
Phone: (601) 698-0328

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1598769044
LBN Legal business name Covington County Hospital
DBA Doing business as Cch Clinic Family Medical
Authorized official Evans, Anissa L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated May 16th, 2023 - about 2 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 1598769044 NPPES
Mississippi Other 25D0864691 CLIA
Mississippi MEDICAID 09015963 CLIA

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