RED WATER SATELLITE CLINIC
NPI 1275611543
Clinic/Center - Public Health, Federal in Carthage, MS

Active since November 02, 2006
1930 N PEARL ST, CARTHAGE, MS 39051(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 02, 2026.

About Red Water Satellite Clinic NPPES

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

RED WATER SATELLITE CLINIC (NPI 1275611543) is a healthcare organization registered as a public health, federal in Carthage, Mississippi and active in the NPI registry since November 2006. The organization lists Phyllis J Anderson, Tribal Chief, as its authorized official.

NPPES Registry Identity

NPI1275611543
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameMISSISSIPPI BAND OF CHOCTAW INDIANS
Location Address1930 N PEARL STCarthage, MS 39051-8220
Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 656-2211 · Fax (601) 663-7721
Fax(601) 663-7721
Organization SubpartYes
Authorized OfficialPhyllis J AndersonTribal Chief · (601) 656-2211
Enumeration DateNovember 2, 2006
Last NPPES UpdateJune 15, 2012
NPI 1275611543 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
1930 N PEARL ST, Carthage, MS 39051

Other Names 1

Doing Business AsRed Water Satellite Clinic

Other Identifiers 2

Medicare PINTEZ040TX
Medicare OSCAR/certification250127TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1930 N PEARL ST
CARTHAGE, MS 39051

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 1275611543. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Red Water Satellite Clinic.

Where is Mississippi Band Of Choctaw Indians located?

Mississippi Band Of Choctaw Indians is located at 1930 N Pearl St, Carthage, MS 39051. 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.