# CHOCTAW REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choctaw Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609284959
- **Authorized official:** JAMIE RODGERS (AMINISTRATOR)
- **Authorized official phone:** (662) 285-4400

## Contact information

- **Practice address:** 8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
- **Practice address phone:** (662) 285-4400
- **Mailing address:** PO BOX 719, ACKERMAN, MS 39735-0719
- **Mailing address phone:** (662) 285-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 16 191 | MS | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014