NPIMap

Organization Active NPI

Choctaw County Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Ackerman, MS
National Provider Identifier
1649595349
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
242 Issued in MS
Legal business name
CHOCTAW COUNTY NURSING CENTER
Practice address
311 W Cherry St
Ackerman, MS 39735-8708
Phone
(662) 285-3257
Fax
(662) 285-2725
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mr. Thomas Higgins
Title
Board President
Phone
(662) 285-6329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 242 MS Primary

Addresses

Primary practice location

311 W Cherry St
Ackerman, MS 39735-8708

Mailing address

PO Box 360
Ackerman, MS 39735-0360
Phone (662) 285-3257

National Provider Directory

National Provider Directory
Tax ID family
Choctaw County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1649595349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397350360",
            "telephone_number": "662-285-3257",
            "fax_number": "662-285-2725"
        },
        {
            "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": "662-285-3257",
            "fax_number": "662-285-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW COUNTY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "662-285-6329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 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.