NPIMap

Organization Active NPI

Clay County Medical Corporation

Doing business as West Point Surgical Associates

  • Ambulatory Surgical Clinic/Center
  • West Point, MS
National Provider Identifier
1336407394
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
07375 Issued in MS
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Doing business as
West Point Surgical Associates
Practice address
850 Emergency Dr
West Point, MS 39773-9357
Phone
(662) 495-2300
Fax
(662) 495-2361
NPI assigned
Apr 27, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MS.HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
James Hahn
Title
Administrator
Phone
(662) 495-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 07375 MS Primary

Addresses

Primary practice location

850 Emergency Dr
West Point, MS 39773-9357

Mailing address

835 Medical Center Dr
West Point, MS 39773-9320
Phone (662) 495-2300

Other names 1

  • West Point Surgical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000718 MS Part B Supplier - Clinic/Group Practice 4789649609 Receives reassigned benefits from 98 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Point, MS; Starkville, MS; Eupora, MS; Aberdeen, MS

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Clay Cty Med Corp18 organizations share this tax ID, including this one
Part of
North Mississippi Health Services Inc

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1336407394",
    "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": "662-495-2300",
            "fax_number": "662-495-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EMERGENCY DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739357",
            "telephone_number": "662-495-2300",
            "fax_number": "662-495-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MS.HEALTH SERVICES",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-495-2300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "07375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Point Surgical Associates",
            "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 May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.