Organization
CHOCTAW COUNTY
Active
Other names
Choctaw County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
311 W CHERRY ST, ACKERMAN, MS 39735-8708
(601) 849-1682
(601) 849-1318
Mailing address
311 W CHERRY ST, ACKERMAN, MS 39735-8708
(601) 849-1682
(601) 849-1318
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25Z334
MEDICARE
MS
Enumeration date
09/02/2011
Last updated
09/02/2011
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