Organization
SIMPSON COMMUNITY HEALTHCARE, INC.
Active
Other names
SIMPSON COMMUNITY HEALTHCARE, INC. EMERGENCY ROOM
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY G RILEY (CCO BUSINESS OFFICE DIRECTOR)
(601) 847-7130
Entity
Organization
Contact information
Practice address
1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
(601) 847-7130
(601) 847-7104
Mailing address
1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
(601) 847-7130
(601) 847-7104
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
92114
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9012493
—
MS
05
—
C00143
—
MS
Enumeration date
06/12/2007
Last updated
08/22/2020
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