TISHOMINGO HEALTH SERVICES, INC. (NPI# 1013028356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013028356 |
| Entity Type | Organization |
| Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
| Other Organization Name | IUKA HOSPITAL |
| Practice Address |
1777 Curtis Dr Iuka MS 38852 |
| Practice Telephone | 6624234074 |
| Practice Fax Number | 6624234550 |
| Mailing Telephone | 6624234074 |
| Mailing Fax Number | 6624234550 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-11 |
| Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
| Authorized Official Telephone | 6623773978 |
| Is Organization Subpart | Y |
| Parent Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
13-221 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9013069 | 05 |
| Other Name | Type Code |
|---|---|
| Iuka Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938979 | Tishomingo Health Services, Inc. | Clinic/Center | 367 Highway 72, Burnsville, MS 38833-9320 | 2016-04-26 |
| 1295105922 | Tishomingo Health Services, Inc. | Clinic/Center | 26 3rd St, Belmont, MS 38827-7737 | 2015-10-07 |
| 1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
| Street Address |
1777 CURTIS DR |
| City | IUKA |
| State | MS |
| Zip Code | 38852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912933409 | Mohamed Z Knefati | Neuromusculoskeletal Medicine & OMM | 1777 Curtis Dr, Iuka, MS 38852-1001 | 2006-06-25 |
| 1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
| 1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
| 1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
| 1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
| 1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
| 1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
| 1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
| 1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
| Find all providers in zip 38852 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641665 | Pelican Urgent Care, Ms, LLC | Clinic/Center | 1839 Cooper Rd, Picayune, MS 39466-2835 | 2017-07-17 |
| 1790316214 | Independent Physicians Group Inc | Clinic/Center | 870 Main St, Fayette, MS 39069-5695 | 2020-02-03 |
| 1508147216 | Pioneer Health Services of Choctaw County, LLC | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-08 |
| 1023318086 | Sharkey Issaquena Comm Hosp-er | Clinic/Center | 47 S Fourth St, Rolling Fork, MS 39159-5146 | 2010-10-25 |
| 1568777977 | Pioneer Health Services of Newton County | Clinic/Center | 9421 Eastside Drive Ext, Newton, MS 39345-8063 | 2010-08-10 |
| 1457666083 | Choctaw County | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-06 |
| 1578692844 | Quitman County Hospital, LLC. | Clinic/Center | 340 Getwell St, Marks, MS 38646-9785 | 2007-03-05 |
| 1578668828 | Webster Health Services, Inc. | Clinic/Center | 70 Medical Plz, Eupora, MS 39744-4018 | 2006-09-13 |
| 1609979053 | Pontotoc Health Services, Inc. | Clinic/Center | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-09-07 |
| 1578670972 | Clay County Medical Corporation | Clinic/Center | 835 Medical Center Dr, West Point, MS 39773-9320 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.