CHOCTAW REGIONAL MEDICAL CENTER – NPI #1568879864
General Acute Care Hospital

CHOCTAW REGIONAL MEDICAL CENTER is a general acute care hospital located in ACKERMAN, MS. NPPES has assigned the NPI number 1568879864 to CHOCTAW REGIONAL MEDICAL CENTER on July 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 4 years ago on Apr 20, 2022. 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 REGIONAL MEDICAL CENTER below.

NPI Profile for
CHOCTAW REGIONAL MEDICAL CENTER

NPI Number
1568879864
Enumeration Date

(about 12 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
CHOCTAW REGIONAL MEDICAL CENTER
Doing Business As (dba): CHOCTAW REGIONAL MEDICAL CENTER
Primary location
8613 MS HIGHWAY 12
ACKERMAN, MS 39735-8917
Phone: (662) 285-4400 Fax:
Mailing address
PO BOX 719
ACKERMAN, MS 39735-0719
Phone: (662) 285-4400 Fax:
Organization Subpart
No
Authorized Official
SUSAN HOLLINGSWORTH WELLS
ADMINISTRATOR
Phone: (662) 285-9460
Updated
Certification Date
Apr 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHOCTAW REGIONAL 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
MEDICAIDMS00431215
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)
146D00000X
- Personal Emergency Response Attendant

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.