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DSH250067 CLAY COUNTY MEDICAL CORPORATION (Active)
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Main Details
Name
CLAY COUNTY MEDICAL CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250067
Medicare Provider Number
250067
Additional Details
Current Program Status
Active
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/5/2015
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
North Mississippi Medical Center
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Primary Contact
North Mississippi Medical Center
Patti Hawkins, Director
(662) 377-4731
Addresses
Street Address
150 Medical Center Drive
WEST POINT, MS 39773
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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