Organization
CHOCTAW REGIONAL MEDICAL CENTER
Active
Other names
CHOCTAW NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MONTGOMERY (CHANCERY CLERK)
(662) 285-6329
Entity
Organization
Contact information
Practice address
311 W CHERRY ST, ACKERMAN, MS 39735-8708
(662) 285-6235
Mailing address
PO BOX 719, ACKERMAN, MS 39735-0719
(662) 285-6235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01809271
—
MS
Enumeration date
07/18/2014
Last updated
10/20/2014
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