Brandywine Health Services of Mississippi, Inc
Organization Active NPI Rural Health Clinic/Center · Ackerman, MS
NPI 1477541431 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1477541431
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC
- Practice address
- 311 E Cherry St
Ackerman, MS 39735-9795 - Phone
- (662) 285-6235
- Fax
- (662) 285-2516
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Ray Shoemaker
- Title
- Administrator
- Phone
- (662) 285-6235
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MS | Yes |
Addresses
Primary practice location
311 E Cherry St
Ackerman, MS 39735-9795
Mailing address
PO Box 1039
Ackerman, MS 39735-1039
Phone (662) 285-6235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08479796 | Medicaid | MS |
Other names
- Choctaw County Medical Center Rural Health Clinic
Other providers in Ackerman, MS
- Hannah Bowman
- Brandywine Health Services of Mississippi, Inc
- Brandywine Health Services of Mississippi, Inc
- Brandywine Health Services of Mississippi, Inc
- Brandywine Health Services of Mississippi, Inc
- Brandywine Health Services of Ms Inc
- Brandywine Health Services of Ms, Inc. Dba Choctaw Co. EMS
- Sarah Breland
- Heather Brown
- Carroll Bruister III
All providers in Ackerman, MS · Rural Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. 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.