MISSISSIPPI BAND OF CHOCTAW INDIANS; NPI #1255533758

Contact Information

MISSISSIPPI BAND OF CHOCTAW INDIANS

210 HOSPITAL CIR
CHOCTAW, MS 39350-6781

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 1255533758

LBN Legal business name MISSISSIPPI BAND OF CHOCTAW INDIANS

Authorized official PHYLLIS ANDERSON - (TRIBAL CHIEF)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/05/2007

Last updated 07/02/2012 - About 14 years ago

Identifiers

Medicaid

9015768

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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