Organization
HUMPHREYS COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHOEMAKER (CEO)
(662) 247-3831
Entity
Organization
Contact information
Practice address
500 C C RD, BELZONI, MS 39038-3806
(662) 247-3831
(662) 247-4114
Mailing address
500 C C RD, BELZONI, MS 39038-3806
(662) 247-3831
(662) 247-4114
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080050
BCBS OF MS SWINGBED
MS
Enumeration date
06/13/2007
Last updated
06/03/2008
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