CHOCTAW RESIDENTIAL CENTER PHYSICIANS
NPI 1891965612
Nursing Facility/Intermediate Care Facility in Choctaw, MS
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 holds a CLIA Waiver certificate valid through August 31, 2026 and lists Phyllis J Anderson, Tribal Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D0670016
Choctaw Residential Center · Philadelphia, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHOCTAW, MS 39350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891965612, enumerated as an "organization" on March 07, 2008.
The provider is located at 135 HOSPITAL CIR CHOCTAW, MS 39350 and the phone number is (601) 656-2582.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
