# COPIAH COUNTY MEDICAL CENTER

> 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
- **Parent organization:** COPIAH COUNTY MEDICAL CENTER
- **Other names:** Hazlehurst Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356448591
- **Legal business name:** COPIAH COUNTY MEDICAL CENTER
- **Authorized official:** KORTNEY M. GADDY (CFO)
- **Authorized official phone:** (601) 574-7200

## Contact information

- **Practice address:** 213 CALDWELL DR, HAZLEHURST, MS 39083
- **Practice address phone:** (601) 894-2514
- **Practice address fax:** (601) 894-2514
- **Mailing address:** 27190 HWY 28, HAZLEHURST, MS 39083
- **Mailing address phone:** (601) 574-7200
- **Mailing address fax:** (601) 894-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/22/2022