Organization
HUMPHREYS COUNTY MEMORIAL HOSPITAL
Active
Other names
Church Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHOEMAKER (CEO)
(662) 321-1155
Entity
Organization
Contact information
Practice address
500 CCC ROAD, BELZONI, MS 39038-0000
(662) 247-3831
(662) 247-4114
Mailing address
PO BOX 510, BELZONI, MS 39038-0510
(662) 247-3831
(662) 247-4114
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
06/09/2008
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