# CLAIBORNE COUNTY HOSPITAL

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

## Provider details

- **NPI number:** 1710238324
- **Authorized official:** MR. CHARLIE NORRELL (PRESIDENT)
- **Authorized official phone:** (601) 437-5141

## Contact information

- **Practice address:** 123 MCCOMB AVE, PORT GIBSON, MS 39150-2915
- **Practice address phone:** (601) 437-5141
- **Mailing address:** PO BOX 1004, 123 MCCOMB AVENUE, PORT GIBSON, MS 39150-1004
- **Mailing address phone:** (601) 437-5141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 26-276 | MS | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 26-276 | MS | — |
| 2085R0202X | Diagnostic Radiology Physician | 26-276 | MS | — |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 01/30/2014