Organization
PATIENTS' CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC
Active
Parent organization
RURAL HEALTHCARE DEVELOPERS, INC
Other names
Church Street Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
RURAL HEALTHCARE DEVELOPERS, INC
Authorized official
MR. RAY SHOEMAKER (CEO)
(662) 247-3874
Entity
Organization
Contact information
Practice address
500 CCC RD, BELZONI, MS 39038
(662) 247-3874
Mailing address
500 CCC ROAD, BELZONI, MS 39038-0510
(662) 247-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014821
—
MS
Enumeration date
01/14/2008
Last updated
05/29/2009
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