# CLAY COUNTY MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLAY COUNTY MEDICAL CORPORATION
- **Other names:** Clay County Med Ctr - Ambulance
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992812291
- **Legal business name:** CLAY COUNTY MEDICAL CORPORATION
- **Authorized official:** MR. LYNN HOLLAND (VICE PRESIDENT - FINANCE)
- **Authorized official phone:** (662) 377-3978

## Contact information

- **Practice address:** 835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
- **Practice address phone:** (662) 495-2128
- **Practice address fax:** (662) 495-2361
- **Mailing address:** 835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
- **Mailing address phone:** (662) 495-2128
- **Mailing address fax:** (662) 495-2361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 13-312 | MS | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 07/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0553965 | — | MS |