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CHOCTAW RESIDENTIAL CENTER PHYSICIANS
NPI 1891965612
Nursing Facility/Intermediate Care Facility in Choctaw, MS

Active since March 07, 2008
135 HOSPITAL CIR, CHOCTAW, MS 39350(601) 656-2582 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Choctaw Residential Center Physicians NPPES

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

CHOCTAW RESIDENTIAL CENTER PHYSICIANS (NPI 1891965612) is a healthcare organization registered as a nursing facility/intermediate care facility in Choctaw, Mississippi and active in the NPI registry since March 2008. The organization lists Phyllis J Anderson, Tribal Chief, as its authorized official.

NPPES Registry Identity

NPI1891965612
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMISSISSIPPI BAND OF CHOCTAW INDIANS
Location Address135 HOSPITAL CIRChoctaw, MS 39350-6780
Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 656-2211 · Fax (601) 663-7721
Phone(601) 656-2582
Organization SubpartYes
Authorized OfficialPhyllis J AndersonTribal Chief · (601) 656-5251
Enumeration DateMarch 7, 2008
Last NPPES UpdateJuly 2, 2012
✔ NPI 1891965612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in MS · 583
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
135 HOSPITAL CIR, Choctaw, MS 39350
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Other Names 1

Doing Business AsChoctaw Residential Center Physicians

Other Identifiers 2

Medicare PINTEZ041TX
Medicaid09015768MS

Other Providers at the Same Location NPPES

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

MISSISSIPPI BAND OF CHOCTAW INDIANS
Nursing Facility/Intermediate Care Facility
135 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 656-2582

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 1891965612. It was assigned to this organization in the NPPES registry on March 7, 2008. The provider is doing business as Choctaw Residential Center Physicians.

Where is Mississippi Band Of Choctaw Indians located?

Mississippi Band Of Choctaw Indians is located at 135 Hospital Cir, Choctaw, MS 39350. The listed phone number is (601) 656-2582.

What is Mississippi Band Of Choctaw Indians's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Mississippi Band Of Choctaw Indians was last updated on July 2, 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.