COVINGTON COUNTY HOSPITAL (NPI# 1013205350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013205350 |
| Entity Type | Organization |
| Organization Name | COVINGTON COUNTY HOSPITAL |
| Other Organization Name | FAMILY CARE EXPRESS |
| Practice Address |
3275 Hwy 49 Suite E Collins MS 39428 |
| Practice Telephone | 6017656711 |
| Practice Fax Number | 6017652808 |
| Mailing Telephone | 6017656711 |
| Mailing Fax Number | 6017652808 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |
| Authorized Official Name | KIRSTIE EVANS (CFO) |
| Authorized Official Telephone | 6017656711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Care Express | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1134435498 | Covington County Hospital | Clinic/Center | 211 W Main Street, Seminary, MS 39479-0211 | 2010-08-25 |
| 1275157141 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1659995538 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1750895611 | Covington County Hospital | Clinic/Center | 800 3rd St Sw, Magee, MS 39111-3951 | 2017-11-29 |
| 1336447861 | Covington County Hospital | Clinic/Center | 603 South Main Street, Mt. Olive, MS 39119-4945 | 2011-03-08 |
| 1053615518 | Covington County Hospital | Skilled Nursing Facility | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-27 |
| 1518260330 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-16 |
| 1629235023 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2008-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVINGTON COUNTY HOSPITAL | 701 S Holly Ave, Collins, MS 39428-3894 |
| Street Address |
3275 HWY 49 SUITE E |
| City | COLLINS |
| State | MS |
| Zip Code | 39428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1366075236 | Pine Ridge Family Clinic, LLC | Nurse Practitioner | 3248 Highway 49, Collins, MS 39428 | 2020-02-19 |
| 1245874981 | Kim Michelle Stubbs | Nurse Practitioner | 77 Cmj Drive, Collins, MS 39428 | 2019-11-06 |
| 1558911800 | William Clyde Saulters | Technician | 749 Seminary Mike Conner Rd, Collins, MS 39428 | 2019-09-18 |
| 1053862524 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 104 Carver Drive, Collins, MS 39428 | 2016-10-20 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
| 1760749691 | Christy Leggett | Occupational Therapy Assistant | 29 Martin Ln, Collins, MS 39428 | 2012-04-17 |
| 1225351562 | Covington County School District | Local Education Agency (LEA) | 1211 South Dogwood Avenue, Collins, MS 39428 | 2010-03-01 |
| 1508024548 | Weston Edmonds Folse | Family Medicine | 116 Par Drive, Collins, MS 39428 | 2008-05-27 |
| Find all providers in zip 39428 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518260330 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-16 |
| 1629235023 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2008-05-22 |
| 1598769044 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COVINGTON COUNTY HOSPITAL.
| 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.