Choctaw County – Skilled Nursing Facility

Key facts

NPI: 1295058659
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: CHOCTAW COUNTY
Practice address: 311 W Cherry St
Ackerman, MS 39735-8708
Phone: (662) 285-6235
Fax: (662) 285-2725
NPI assigned: Mar 12, 2010
Organization subpart: No

Authorized official

Name: Mr. Steve Montgomery
Title: Chancery Clerk
Phone: (662) 285-6329

Corporate family (same tax ID) 2

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

Choctaw County Skilled Nursing Facility · Ackerman, MS · NPI 1376950675

NPD tax ID
Choctaw County Nursing Center Nursing Facility/Intermediate Care Facility · Ackerman, MS · NPI 1649595349

NPD tax ID

National Provider Directory

Tax ID family: Choctaw County (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X		MS	Yes

Addresses

Primary practice location

311 W Cherry St
Ackerman, MS 39735-8708

Mailing address

PO Box 250
Ackerman, MS 39735-0250
Phone (662) 285-6329

Other names

Choctaw County Nursing Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2010.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1295058659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397350250",
            "telephone_number": "662-285-6329",
            "fax_number": "662-285-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W CHERRY ST",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358708",
            "telephone_number": "662-285-6235",
            "fax_number": "662-285-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHANCERY CLERK",
        "authorized_official_telephone_number": "662-285-6329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw County Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ackerman, MS

All providers in Ackerman, MS · Skilled Nursing Facility in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.