Organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Active
Parent organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Other names
BOGUE CHITTO SATELLITE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI BAND OF CHOCTAW INDIANS
Authorized official
MRS. PHYLLIS J ANDERSON (TRIBAL CHIEF)
(601) 656-2211
Entity
Organization
Contact information
Practice address
124 BIG CREEK CIR, PHILADELPHIA, MS 39350-9004
(601) 656-2211
(601) 663-7721
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7721
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
06/15/2012
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