NPIMap

Organization Active NPI

Patients Choice Medical Center of Humphreys County LLC

  • Critical Access Hospital
  • Belzoni, MS
National Provider Identifier
1245364892
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY LLC
Practice address
500 C C Rd
Belzoni, MS 39038-3806
Phone
(662) 247-3831
Fax
(662) 247-4114
NPI assigned
Mar 15, 2007
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Elston Kemp
Title
Ceo
Phone
(662) 840-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

500 C C Rd
Belzoni, MS 39038-3806

Mailing address

500 C C Rd
Belzoni, MS 39038-3806
Phone (662) 247-3831

Other identifiers 1

IdentifierTypeStateIssuer
09012421MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Patients' Choice Medical Center of Humphreys County LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1245364892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 C C RD",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383806",
            "telephone_number": "662-247-3831",
            "fax_number": "662-247-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 C C RD",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383806",
            "telephone_number": "662-247-3831",
            "fax_number": "662-247-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "ELSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-840-0196"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09012421",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belzoni, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.