| Choctaw Health Center Physicians | |
|
210 Hospital Cir Choctaw MS 39350-6781 | |
| (601) 656-2211 | |
| (601) 663-7721 |
| Full Name | Choctaw Health Center Physicians |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 210 Hospital Cir, Choctaw, Mississippi |
| Authorized Official Name and Position | Phyllis J Anderson (TRIBAL CHIEF) |
| Authorized Official Contact | 6016562582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Health Center Physicians 210 Hospital Cir Choctaw MS 39350-6781 Ph: (601) 656-2211 | Choctaw Health Center Physicians 210 Hospital Cir Choctaw MS 39350-6781 Ph: (601) 656-2211 |
| NPI Number | 1255533758 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255533758 | NPI | - | NPPES |
| 9015768 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |