CHOCTAW COUNTY MEDICAL CENTER – NPI #1356339576
General Acute Care Hospital

CHOCTAW COUNTY MEDICAL CENTER is a general acute care hospital located in ACKERMAN, MS. NPPES has assigned the NPI number 1356339576 to CHOCTAW COUNTY MEDICAL CENTER on October 11, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHOCTAW COUNTY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 18 years ago on Jul 09, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHOCTAW COUNTY MEDICAL CENTER below.

NPI Profile for
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC

NPI Number
1356339576
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC
Doing Business As (dba): CHOCTAW COUNTY MEDICAL CENTER
Primary location
311 WEST CHERRY STREET
ACKERMAN, MS 39735
Phone: (662) 285-6235 Fax: (662) 285-2516
Mailing address
PO BOX 1039
ACKERMAN, MS 39735-1039
Phone: (662) 285-6235 Fax: (662) 285-2516
Organization Subpart
No
Authorized Official
RAY SHOEMAKER
CEO
Phone: (662) 321-1155
Updated
Identifiers

Identifiers for CHOCTAW COUNTY MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS02032374
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
MS 16191

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.