Mississippi Band of Choctaw Indians
NPI #1144305731 in Philadelphia, Mississippi
Provider Information
- NPI Number
- 1144305731
- Entity Type
- Organization
- Organization Name
- Mississippi Band of Choctaw Indians
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MISSISSIPPI BAND OF CHOCTAW INDIANS
- Primary Specialty
- Clinic/Center - Public Health, Federal
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jun 15, 2012
Practice Location
- Address
- 124 BIG CREEK CIR
- City
- Philadelphia
- State
- Mississippi
- ZIP Code
- 39350-9004
- Phone
- (601) 656-2211
Authorized Official
- Name
- MRS. PHYLLIS J ANDERSON
- Title
- TRIBAL CHIEF
- Phone
- (601) 656-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, Federal — Public Health, Federal |
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