NPIMap

Organization Active NPI

Choctaw County

Doing business as Choctaw County Hospital

  • Critical Access Hospital
  • Ackerman, MS
National Provider Identifier
1639468846
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11-191 Issued in MS
Legal business name
CHOCTAW COUNTY
Doing business as
Choctaw County Hospital
Practice address
311 W Cherry St
Ackerman, MS 39735-8708
Phone
(662) 285-6235
NPI assigned
Mar 29, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Joseph S McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11-191 MS Primary

Addresses

Primary practice location

311 W Cherry St
Ackerman, MS 39735-8708

Mailing address

311 W Cherry St
Ackerman, MS 39735-8708
Phone (662) 285-6235

Other names 1

  • Choctaw County Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

311 W Cherry St
Ackerman, MS 39735
Phone (662) 285-6235

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1639468846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W CHERRY ST",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358708",
            "telephone_number": "662-285-6235"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "11-191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ackerman, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.