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Mississippi Band of Choctaw Indians

NPI 1891965612ActiveOrganization· Nursing Facility/Intermediate Care Facility· Choctaw, MS

Nursing Facility/Intermediate Care Facility in Choctaw, Mississippi, registered in NPPES in March 2008, part of Mississippi Band of Choctaw Indians. The authorized official on file is Phyllis J. Anderson, Tribal Chief.

Overview

NPI1891965612
StatusActive
Entity typeOrganization (subpart)
Parent organizationMississippi Band of Choctaw Indians
NPI issuedMar 7, 2008
Last updated in NPPESJul 2, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary313M00000X583MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nursing Facility/Intermediate Care Facility providers in Choctaw

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