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Organization Active NPI

Brandywine Health Services of Mississippi, Inc

Doing business as Choctaw County Medical Center RHC-Weir

  • Rural Health Clinic/Center
  • Weir, MS
National Provider Identifier
1982659405
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC
Doing business as
Choctaw County Medical Center RHC-Weir
Practice address
547 Front St.
Weir, MS 39772
Phone
(662) 547-9697
Fax
(662) 547-9698
NPI assigned
May 23, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Ray Shoemaker
Title
Administrator
Phone
(662) 285-6235

Specialties & licenses 1

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

Addresses

Primary practice location

547 Front St.
Weir, MS 39772

Mailing address

PO Box 1039
Ackerman, MS 39735-1039
Phone (662) 285-6235

Other names 1

  • Choctaw County Medical Center RHC-Weir Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1982659405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397351039",
            "telephone_number": "662-285-6235",
            "fax_number": "662-285-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 FRONT ST.",
            "city": "WEIR",
            "state": "MS",
            "postal_code": "39772",
            "telephone_number": "662-547-9697",
            "fax_number": "662-547-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-285-6235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw County Medical Center RHC-Weir",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weir, MS

Sources for this page

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