Claiborne County Hospital

Organization Active NPI Rural Health Clinic/Center · Port Gibson, MS

NPI 1760636583 · NPPES record last updated Nov 6, 2008

Key facts

NPI: 1760636583
Entity type: Organization (NPI type 2)
Primary specialty: Rural Health Clinic/Center 261QR1300X
Legal business name: CLAIBORNE COUNTY HOSPITAL
Practice address: 123 McComb Ave
Port Gibson, MS 39150-2915
Phone: (601) 437-5141
Fax: (601) 437-3782
NPI assigned: Nov 6, 2008
Organization subpart: No

Authorized official

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Charles Samuel Fillingane, DO Family Medicine Physician · Hattiesburg, MS · NPI 1346261195

NPD (past)

National Provider Directory

Locations

2552 Main St 6628443451
Plantersville, MS 38862
Phone (662) 844-3451

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rural Health Clinic/Center	261QR1300X			Yes

Addresses

Primary practice location

123 McComb Ave
Port Gibson, MS 39150-2915

Mailing address

PO Box 1004
Port Gibson, MS 39150-1004
Phone (601) 437-5141

Other names

Claiborne County Rural Health Clinic Doing business as

Other providers in Port Gibson, MS

All providers in Port Gibson, 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 Nov 6, 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.

Verify at the official NPI Registry.