Mississippi Band of Choctaw Indians
NPI #1548358153 in Choctaw, Mississippi
Provider Information
- NPI Number
- 1548358153
- 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
- Ambulance
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jun 14, 2012
Practice Location
- Address
- 210 HOSPITAL CIRCLE
- City
- Choctaw
- State
- Mississippi
- ZIP Code
- 39350-6781
- Phone
- (601) 656-2211
Authorized Official
- Name
- MRS. PHYLLIS ANDERSON
- Title
- TRIBAL CHIEF
- Phone
- (601) 656-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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