MISSISSIPPI BAND OF CHOCTAW INDIANS; NPI #1144305731

Contact Information

MISSISSIPPI BAND OF CHOCTAW INDIANS

124 BIG CREEK CIR
PHILADELPHIA, MS 39350-9004

Phone: 601-656-2211
Fax: 601-663-7721
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for MISSISSIPPI BAND OF CHOCTAW INDIANS

NPI Number	`1144305731`
LBN Legal business name	MISSISSIPPI BAND OF CHOCTAW INDIANS
Authorized official	PHYLLIS ANDERSON - (TRIBAL CHIEF)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	10/25/2006
Last updated	06/15/2012 - About 14 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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