# SIMPSON COMMUNITY HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SIMPSON COMMUNITY HEALTHCARE, INC. RADIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902000375
- **Authorized official:** SHELLY G RILEY (CCO BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (601) 847-7130

## Contact information

- **Practice address:** 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
- **Practice address phone:** (601) 847-7130
- **Practice address fax:** (601) 847-7104
- **Mailing address:** 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
- **Mailing address phone:** (601) 847-7130
- **Mailing address fax:** (601) 847-7104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9013247 | — | MS |
