Organization
CHOCTAW REGIONAL MEDICAL CENTER
Active
Other names
Choctaw Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOLLINGSWORTH WELLS (ADMINISTRATOR)
(662) 285-9460
Entity
Organization
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Mailing address
8613 MS HWY 12 CAMPUS CLINIC SUITE B, ACKERMAN, MS 39735-0719
(662) 285-9460
(662) 285-9324
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04477821
—
MS
Enumeration date
07/18/2014
Last updated
05/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up