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Claiborne County Hospital

Clinic/Center, Rural Health in Port Gibson, MS. Organization (NPI-2).

NPI number1760636583
StatusActive
Last updated in NPPESNov 6, 2008

Details

NPI
1760636583
Entity type
Organization (NPI-2)
Legal business name
Claiborne County Hospital
Organization subpart
No
Enumeration date
Nov 6, 2008
Last updated
Nov 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes

Other names

  • Claiborne County Rural Health Clinic (Doing Business As)

Practice location

123 McComb Ave
Port Gibson, MS 39150-2915

Phone 601-437-5141 · Fax 601-437-3782

Mailing address

Po Box 1004
Port Gibson, MS 39150-1004

Phone 601-437-5141 · Fax 601-437-3782

Authorized official

Ray Shoemaker
Ceo
6623211155

Is something wrong?

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