NPIMap

Organization Active NPI

Claiborne County Hospital

  • General Practice Physician
  • Port Gibson, MS
National Provider Identifier
1386374668
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLAIBORNE COUNTY HOSPITAL
Practice address
123 McComb Ave
Port Gibson, MS 39150-2915
Phone
(601) 437-5141
Fax
(601) 437-5130
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Ada L Ratliff, MBA
Title
Ceo
Phone
(601) 547-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

123 McComb Ave
Port Gibson, MS 39150-2915

Mailing address

123 McComb Ave
Port Gibson, MS 39150-2915
Phone (601) 437-5141

Other names 2

  • Claiborne County Medical Center Doing business as
  • Claiborne County Medical Center Rural Health Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1386374668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MCCOMB AVE",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502915",
            "telephone_number": "601-437-5141",
            "fax_number": "601-437-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MCCOMB AVE",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502915",
            "telephone_number": "601-437-5141",
            "fax_number": "601-437-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-547-2228",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claiborne County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claiborne County Medical Center Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.