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Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Parent organization
CLAY COUNTY MEDICAL CORPORATION
Other names
Clay County Med Ctr - ER Phys
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Authorized official
MR. JOSEPH A REPPERT (CFO)
(662) 377-3978
Entity
Organization
Contact information
Practice address
835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
(662) 495-2128
(662) 495-2361
Mailing address
835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
(662) 495-2128
(662) 495-2361
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
13-312
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019079
BLUE CROSS
MS
05
—
9013498
—
MS
Enumeration date
08/23/2006
Last updated
11/11/2011
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