NPI 1003223306

Choctaw Regional Medical Center

Organisation Rural Health Clinic/Center Ackerman, MS

Practice location

Address: 8613 Ms Highway 12, Ackerman, MS 39735-8917
Phone: (662) 285-4400
Mailing address: 8613 Ms Hwy 12 Campus Clinic Suite B, Ackerman, MS 39735-0719

Authorised official

Name: Susan Hollingsworth Wells
Title: Administrator
Phone: (662) 285-9460

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

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Registry record

NPI: 1003223306
Entity type: Organization
NPI issued: 18 Jul 2014
Record last updated: 3 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.