NPIMap

Organization Active NPI

Patients Choice Medical Center of Humphreys County, LLC

  • Rural Health Clinic/Center
  • Indianola, MS
National Provider Identifier
1649429135
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC
Doing business as
Patients Choice Clinic of Indianola
Practice address
310 Highway 82 W
Suite a
Indianola, MS 38751-2150
Phone
(662) 417-4698
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

310 Highway 82 W
Suite a
Indianola, MS 38751-2150

Mailing address

PO Box 510
Belzoni, MS 39038-0510
Phone (662) 247-3831

Other names 1

  • Patients Choice Clinic of Indianola Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patients' Choice Medical Center of Humphreys County LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1649429135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390380510",
            "telephone_number": "662-247-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HIGHWAY 82 W",
            "address_2": "SUITE A",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512150",
            "telephone_number": "662-417-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-321-1155"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients Choice Clinic of Indianola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.