# CLAY COUNTY MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLAY COUNTY MEDICAL CORPORATION
- **Other names:** Clay County Medical - CRNA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396852695
- **Legal business name:** CLAY COUNTY MEDICAL CORPORATION
- **Authorized official:** MR. BRUCE J TOPPIN (CFO)
- **Authorized official phone:** (662) 377-4229

## Contact information

- **Practice address:** 150 MEDICAL CENTER DR, WEST POINT, MS 39773-0428
- **Practice address phone:** (662) 495-2128
- **Practice address fax:** (662) 495-2361
- **Mailing address:** 150 MEDICAL CENTER DR, WEST POINT, MS 39773-0428
- **Mailing address phone:** (662) 495-2128
- **Mailing address fax:** (662) 495-2361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 13-312 | MS | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 01/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009013520 | — | MS |