CHURCH STREET CLINIC
NPI 1366628927
Clinic/Center - Rural Health in Belzoni, MS

Active since January 14, 2008

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Church Street Clinic NPPES

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

CHURCH STREET CLINIC (NPI 1366628927) is a healthcare organization registered as a rural health in Belzoni, Mississippi and active in the NPI registry since January 2008. The organization lists Ray Shoemaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366628927
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePATIENTS' CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC
Location Address500 CCC RDBelzoni, MS 39038
Mailing Address500 Ccc RoadBelzoni, MS 39038-0510 · (662) 247-3874
Organization SubpartYesParent: Rural Healthcare Developers, Inc
Authorized OfficialRay ShoemakerCeo · (662) 247-3874
Enumeration DateJanuary 14, 2008
Last NPPES UpdateMay 29, 2009
NPI 1366628927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
500 CCC RD, Belzoni, MS 39038

Other Names 1

Other NameChurch Street Clinic

Other Identifiers 1

Medicaid09014821MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Patients' Choice Medical Center Of Humphreys County, LLC's NPI number?

The NPI number for Patients' Choice Medical Center Of Humphreys County, LLC is 1366628927. It was assigned to this organization in the NPPES registry on January 14, 2008. The provider is also known as Church Street Clinic.

Where is Patients' Choice Medical Center Of Humphreys County, LLC located?

Patients' Choice Medical Center Of Humphreys County, LLC is located at 500 Ccc Rd, Belzoni, MS 39038. The listed phone number is (662) 247-3874.

What is Patients' Choice Medical Center Of Humphreys County, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Patients' Choice Medical Center Of Humphreys County, LLC was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.