Choctaw Health Center Physicians

LBN: Mississippi Band Of Choctaw Indians
Choctaw Health Center Physicians is an health care organization with primary practice located at 210 Hospital Cir , Choctaw MS 39350-6781. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Mississippi Band Of Choctaw Indians can be contacted via phone (601) 656-2211, or through Anderson, Phyllis J via phone (601) 656-2582.

Contact Information

Primary practice address
210 Hospital Cir Choctaw MS 39350-6781
Phone: (601) 656-2211
Fax: (601) 663-7721
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Phyllis J
Phone: (601) 656-2582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1255533758
LBN Legal business name Mississippi Band Of Choctaw Indians
DBA Doing business as Choctaw Health Center Physicians
Authorized official Anderson, Phyllis J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2007
Last updated Jul 2nd, 2012 - about 13 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 1255533758 NPPES
Mississippi MEDICAID 9015768

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