Claiborne County Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CLAIBORNE COUNTY HOSPITAL

Doing business as

Claiborne County Rural Health Clinic

Practice address

123 McComb Ave
Port Gibson, MS 39150-2915

Phone

(601) 437-5141

Fax

(601) 437-3782

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Claiborne County Rural Health Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Samuel Fillingane, DO

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1346261195
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1760636583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391501004",
            "telephone_number": "601-437-5141",
            "fax_number": "601-437-3782"
        },
        {
            "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": "601-437-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "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": "Claiborne County Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claiborne County Hospital
• Claiborne County Hospital
• Claiborne County Hospital
• Claiborne County Hospital
• Claiborne County Hospital
• Claiborne County Human Resource Agency (Claiborne County Public Transit)
• Claiborne County Nursing Center Inc
• Claiborne County School (Port Gibson Middle School)
• Claiborne County School District (Port Gibson High School)
• Claiborne County School District

• Rural Health Clinic/Center in Port Gibson, MS
• Providers in Port Gibson, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.