Organization Active NPI

Clay County Medical Corporation

Doing business as Clay County Advanced Wound Center

  • Clinic/Center
  • West Point, MS
National Provider Identifier
1013318898
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Doing business as
Clay County Advanced Wound Center
Practice address
830 Medical Center Dr
West Point, MS 39773-9319
Phone
(662) 495-2128
Fax
(662) 495-2361
NPI assigned
Sep 11, 2014
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAY COUNTY MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bruce Toppin
Title
Secretary
Phone
(662) 377-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

830 Medical Center Dr
West Point, MS 39773-9319

Mailing address

835 Medical Center Dr
West Point, MS 39773-9320
Phone (662) 495-2128

Other names 1

  • Clay County Advanced Wound Center Doing business as

National Provider Directory

National Provider Directory
Part of
Clay Cty Med Corp

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1013318898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739320",
            "telephone_number": "662-495-2128",
            "fax_number": "662-495-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739319",
            "telephone_number": "662-495-2128",
            "fax_number": "662-495-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAY COUNTY MEDICAL CORPORATION",
        "enumeration_date": "2014-09-11",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "662-377-3978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Advanced Wound Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clay County Advanced Wound Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.