Organization · Type 2 NPI

Mississippi Band of Choctaw Indians

Federal Public Health Clinic/Center · Carthage, MS

NPI number 1275611543 Active

Practice location

1930 N Pearl St
Carthage, MS 39051-8220

Call (601) 656-2211 Map

Fax (601) 663-7721

Mailing address

210 Hospital Cir
Choctaw, MS 39350-6781

Specialties and licenses

Taxonomy	Code	License
Federal Public Health Clinic/Center Primary	261QP0904X	None listed

Federal Public Health Clinic/Center: Definition to come...

Another provider at this address

Michelle S. Atkinson, DNPNurse Practitioner Carthage, MS NPI 1154355428

NPI record

NPI: 1275611543
Entity type: Organization (Type 2)
Issued: Nov 2, 2006
Last updated: Jun 15, 2012
Status: Active
Subpart: Yes of Mississippi Band of Choctaw Indians

Other names

<unavail>
Red Water Satellite Clinic · doing business as

Authorized official

Mrs. Phyllis J Anderson
Tribal Chief
(601) 656-2211

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275611543

Mississippi Band of Choctaw Indians's National Provider Identifier is 1275611543, issued on Nov 2, 2006. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Carthage, MS. The record was last updated on Jun 15, 2012.