NPIMap

Organization Active NPI

Patients Choice Medical Center of Claiborne County LLC

  • Critical Access Hospital
  • Port Gibson, MS
National Provider Identifier
1801047451
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
21276 Issued in MS
Legal business name
PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC
Practice address
123 McComb Ave
Port Gibson, MS 39150-2915
Phone
(601) 437-5141
Fax
(601) 437-3782
NPI assigned
Oct 1, 2008
Organization subpart
Yes
Parent organization
RURAL HEALTHCARE DEVELOPERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Elston C Kemp
Title
Ceo
Phone
(662) 840-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 21276 MS Primary

Addresses

Primary practice location

123 McComb Ave
Port Gibson, MS 39150-2915

Mailing address

431 W Main St
Suite 410
Tupelo, MS 38804-3817
Phone (662) 840-0196

Other names 1

  • Rural Healthcare Developers, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Claiborne County Hospital5 organizations share this tax ID, including this one
Part of
Rural Healthcare Developers

Other organizations with this tax ID 4

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

Locations

431 W Main St
Ste 410
Tupelo, MS 38804

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1801047451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W MAIN ST",
            "address_2": "SUITE 410",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043817",
            "telephone_number": "662-840-0196",
            "fax_number": "662-840-0198"
        },
        {
            "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": "PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RURAL HEALTHCARE DEVELOPERS, INC",
        "enumeration_date": "2008-10-01",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "ELSTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-840-0196"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "21276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Healthcare Developers, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.