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Organization

MISSISSIPPI BAND OF CHOCTAW INDIANS

Active
Parent organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Other names
CHOCTAW HEALTH CENTER PHYSICIANS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSISSIPPI BAND OF CHOCTAW INDIANS
Authorized official
PHYLLIS J ANDERSON (TRIBAL CHIEF)
(601) 656-2582
Entity
Organization

Contact information

Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(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

Other identifiers
Code
Description
Identifier
Issuer
State
05
9015768
MS
Enumeration date
06/05/2007
Last updated
07/02/2012
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