Organization
CHOCTAW REGIONAL MEDICAL CENTER
Active
Other names
Choctaw Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOLLINGSWORTH WELLS (ADMINISTRATOR)
(662) 285-9460
Entity
Organization
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Mailing address
PO BOX 719, ACKERMAN, MS 39735-0719
(662) 285-4400
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00431215
—
MS
Enumeration date
07/18/2014
Last updated
04/20/2022
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