# CLAIBORNE COUNTY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104904457
- **Authorized official:** RAY L SHOEMAKER (CEO)
- **Authorized official phone:** (662) 321-1155

## Contact information

- **Practice address:** 123 MCCOMB AVENUE, PORT GIBSON, MS 39150-1004
- **Practice address phone:** (601) 437-5141
- **Practice address fax:** (601) 437-8547
- **Mailing address:** 123 MCCOMB AVENUE, PORT GIBSON, MS 39150-1004
- **Mailing address phone:** (601) 437-5141
- **Mailing address fax:** (601) 437-5166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/14/2010