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Contact Information

MISSISSIPPI BAND OF CHOCTAW INDIANS
135 HOSPITAL CIR
CHOCTAW, MS39350-6780
 Phone: 601-656-2582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MISSISSIPPI BAND OF CHOCTAW INDIANS

NPI # 1891965612
LBN Legal business name MISSISSIPPI BAND OF CHOCTAW INDIANS
Authorized official PHYLLIS ANDERSON - (TRIBAL CHIEF)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/07/2008
Last updated 07/02/2012 - About 14 years ago
Identifiers
MS License # 583
MS Medicaid 09015768
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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