Organization
PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC
Active
Parent organization
RURAL HEALTHCARE DEVELOPERS, INC.
Other names
Rural Healthcare Developers, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RURAL HEALTHCARE DEVELOPERS, INC.
Authorized official
MR. ELSTON C KEMP (CEO)
(662) 840-0196
Entity
Organization
Contact information
Practice address
500 C C RD, BELZONI, MS 39038-3806
(662) 247-3831
(662) 247-4114
Mailing address
PO BOX 510, BELZONI, MS 39038-0510
(662) 247-3831
(662) 247-4114
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
21-169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019124
BLUE CROSS PHY PROV NUMBE
MS
01
—
000020124
BLUE CROSS OF MS HOSP PRO
MS
05
—
00020124
—
MS
Enumeration date
07/11/2006
Last updated
08/28/2012
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