CONEHATTA SATELLITE CLINIC
NPI 1013092600
Clinic/Center - Public Health, Federal in Conehatta, MS

Active since October 25, 2006
376 CAMPUS RD, CONEHATTA, MS 39057(601) 656-2211(601) 663-7721 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Conehatta Satellite Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONEHATTA SATELLITE CLINIC (NPI 1013092600) is a healthcare organization registered as a public health, federal in Conehatta, Mississippi and active in the NPI registry since October 2006. The organization lists Phyllils J Anderson, Tribal Chief, as its authorized official.

NPPES Registry Identity

NPI1013092600
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameMISSISSIPPI BAND OF CHOCTAW INDIANS
Location Address376 CAMPUS RDConehatta, MS 39057-2800
Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 656-2211 · Fax (601) 663-7721
Fax(601) 663-7721
Organization SubpartYes
Authorized OfficialPhyllils J AndersonTribal Chief · (601) 656-2211
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 15, 2012
NPI 1013092600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
376 CAMPUS RD, Conehatta, MS 39057

Other Names 1

Doing Business AsConehatta Satellite Clinic

Other Identifiers 2

Medicare OSCAR/certification250127TX
Medicare PINTEZ039TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi Band Of Choctaw Indians's NPI number?

The NPI number for Mississippi Band Of Choctaw Indians is 1013092600. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Conehatta Satellite Clinic.

Where is Mississippi Band Of Choctaw Indians located?

Mississippi Band Of Choctaw Indians is located at 376 Campus Rd, Conehatta, MS 39057. The listed phone number is (601) 656-2211.

What is Mississippi Band Of Choctaw Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

When was this NPI record last updated?

The NPPES record for Mississippi Band Of Choctaw Indians was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.