NPIMap

Organization Active NPI

Claiborne County Hospital

  • Psychiatric Hospital Unit
  • Port Gibson, MS
National Provider Identifier
1447338793
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
CLAIBORNE COUNTY HOSPITAL
Practice address
123 McComb Ave
Port Gibson, MS 39150-2915
Phone
(601) 437-5141
Fax
(601) 437-8547
NPI assigned
Nov 2, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Ray L Shoemaker
Title
Ceo
Phone
(662) 321-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X MS Primary

Addresses

Primary practice location

123 McComb Ave
Port Gibson, MS 39150-2915

Mailing address

123 McComb Avenue
Port Gibson, MS 39150-1004
Phone (601) 437-5141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1447338793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MCCOMB AVENUE",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391501004",
            "telephone_number": "601-437-5141",
            "fax_number": "601-437-5166"
        },
        {
            "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": "601-437-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-321-1155"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2010; 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.