Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA CLEARMAN F.N.P. (OFFICE MANAGER)
(601) 656-1001
Entity
Organization
Contact information
Practice address
1122 E MAIN ST, SUITE 4, PHILADELPHIA, MS 39350-2348
(601) 656-1001
(601) 656-7555
Mailing address
1122 E MAIN ST, SUITE 4, PHILADELPHIA, MS 39350-2348
(601) 656-1001
(601) 656-7555
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06074366
—
MS
01
—
P00218047
RAILROAD MEDICARE
MS
01
—
P00218048
RAILROAD MEDICARE
MS
Enumeration date
10/11/2006
Last updated
07/21/2022
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