Organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Active
Parent organization
MISSISSIPPI BAND OF CHOCTAW INDIANS
Other names
CHOCTAW HEALTH CENTER AMBULANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI BAND OF CHOCTAW INDIANS
Authorized official
MRS. PHYLLIS ANDERSON (TRIBAL CHIEF)
(601) 656-2211
Entity
Organization
Contact information
Practice address
210 HOSPITAL CIRCLE, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7721
Mailing address
210 HOSPITAL CIRCLE, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
025
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050014
—
MS
Enumeration date
10/10/2006
Last updated
06/14/2012
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