CHOCTAW COUNTY MEDICAL CENTER, ERP – NPI #1043331853
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CHOCTAW COUNTY MEDICAL CENTER, ERP is a provider located in ACKERMAN, MS. NPPES has assigned the NPI number 1043331853 to CHOCTAW COUNTY MEDICAL CENTER, ERP on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHOCTAW COUNTY MEDICAL CENTER, ERP” 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 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 18 years ago on May 28, 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, ERP below.

NPI Profile for
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC

NPI Number
1043331853
Enumeration Date

(more than 19 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, ERP
Primary location
311 WEST CHERRY STREET
ACKERMAN, MS 39735
Phone: (662) 285-6235 Fax: (662) 285-2516
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAY SHOEMAKER
CEO
Phone: (662) 321-1155
Updated
Identifiers

Identifiers for CHOCTAW COUNTY MEDICAL CENTER, ERP

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
MEDICAIDMS04351270
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
207P00000X
- Emergency Medicine (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.