CLAIB CTY HSP PRO FEES – NPI #1558480491
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLAIB CTY HSP PRO FEES is a provider located in PORT GIBSON, MS. NPPES has assigned the NPI number 1558480491 to CLAIB CTY HSP PRO FEES on March 29, 2007. 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 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 16 years ago on Jun 14, 2010. 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 CLAIB CTY HSP PRO FEES below.

NPI Profile for
CLAIB CTY HSP PRO FEES

NPI Number
1558480491
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
CLAIB CTY HSP PRO FEES
Primary location
123 MCCOMB AVE
PORT GIBSON, MS 39150-2915
Phone: (601) 437-5141 Fax: (601) 437-8547
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAY SHOEMAKER
CEO
Phone: (662) 321-1155
Updated
Identifiers

Identifiers for CLAIB CTY HSP PRO FEES

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
OTHERPROF FEEMS000019140
MEDICAIDMS09013195
MEDICAIDMS09013197
MEDICAIDMS09013196
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.

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.