Organization
CLAY COUNTY MEDICAL CORPORATION
Active
Other names
Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
63 MEDICAL CENTER DR, WEST POINT, MS 39773-0430
(662) 494-1620
(662) 494-0375
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
13-312
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004654046
—
MS
01
—
25-8619
MEDICAR RURAL HEALTH
MS
01
—
355782
MEDICARE NON RURAL
MS
Enumeration date
10/12/2016
Last updated
01/20/2025
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