JEFFERSON COUNTY HOSPITAL


Address: 870 South Main Street, Fayette, MS 39069-0577
Phone: 6017863401

JEFFERSON COUNTY HOSPITAL (NPI# 1043204555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043204555
Entity Type Organization
Organization Name JEFFERSON COUNTY HOSPITAL
Practice Address 870 South Main Street
Fayette
MS 39069-0577
Mailing Address P.o. Box 577
870 Main Street
Fayette
MS 39069-0577
Practice Telephone 6017863401
Practice Fax Number 6017863400
Mailing Telephone 6017863401
Mailing Fax Number 6017863400
Enumeration Date 2005-09-12
Last Update Date 2015-12-16
Authorized Official Name MRS. WANDA C. FLEMING (ADMINISTRATOR)
Authorized Official Telephone 6017863401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282N00000X General Acute Care Hospital 21238 MS Hospitals
Y 273R00000X Psychiatric Unit 21238 MS Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
MS BLUE CROSS BLUE SHIELD C02109 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881294536 Jefferson County Hospital Clinic/Center 107 W Harrison St, Richland, IA 52585-9549 2020-10-30
1225247505 Jefferson County Hospital Family Medicine 870 Main Street, Fayette, MS 39069 2007-05-22
1871690289 Jefferson County Hospital Nursing Facility/Intermediate Care Facility 400 Highland St, Fairfield, IA 52556-3713 2006-09-20
1386018083 Jefferson County Hospital Psychiatric Unit 870 Main St, Fayette, MS 39069-5695 2015-11-18
1457728008 Jefferson County Hospital Clinic/Center 2000b S Main St, Fairfield, IA 52556-9572 2015-08-31
1245643972 Jefferson County Hospital Family Medicine 2000 S Main St, Fairfield, IA 52556-9572 2014-06-10
1487944856 Jefferson County Hospital Pharmacy 2000 S Main St, Fairfield, IA 52556-9572 2011-04-19
1972771384 Jefferson County Hospital Internal Medicine 2000 S Main St, Fairfield, IA 52556-9572 2008-02-19
1780894253 Jefferson County Hospital Family Medicine 870 Main Street, Fayette, MS 39069 2007-05-23
1407071913 Jefferson County Hospital Personal Emergency Response Attendant 2000 S Main St, Fairfield, IA 52556-9572 2007-04-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JEFFERSON COUNTY HOSPITAL 870 Main St, Fayette, MS 39069-5695

Office Location

Street Address 870 SOUTH MAIN STREET
City FAYETTE
State MS
Zip Code 39069-0577

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265063135 Georgene Ferrie Massage Therapist 1612 Main St., Fayette, MS 39069 2020-01-30
1942741764 Prime Health and Wellness Nurse Practitioner 300 Shannon Street, Fayette, MS 39069 2017-03-13
1063967768 P-cares Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 3476 River Road, Box 1055, Fayette, MS 39069 2016-08-23
1669866331 Kanayo Ugboaja Contractor 157 Hicks St, Fayette, MS 39069 2015-03-20
1053666503 Valerie Michele White Nurse Practitioner 225 Community Dr., Fayette, MS 39069 2012-07-20
1265752356 John Ellis Evans Family Medicine 456 River Road, Fayette, MS 39069 2010-06-11
1922271691 Jefferson Comprehensive Health Center Inc Clinic/Center Route 1 Box 266, Fayette, MS 39069 2008-04-02
1225247505 Jefferson County Hospital Family Medicine 870 Main Street, Fayette, MS 39069 2007-05-22
1356410229 Johnny B Bills Family Medicine 225 Community Ave, Fayette, MS 39069 2006-11-07
1962583971 Priscilla Jackson Nurse Practitioner 225 Community Drive, Fayette, MS 39069 2006-10-17
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386018083 Jefferson County Hospital Psychiatric Unit 870 Main St, Fayette, MS 39069-5695 2015-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407269756 East Mississippi State Hospital Psychiatric Unit 1401 College Dr, Meridian, MS 39307-5345 2014-06-04
1699803395 Walter Robert Jones Jr. Psychiatric Unit Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 2007-03-02
1740228881 Vicksburg Healthcare LLC Psychiatric Unit 1111 N Frontage Rd, Vicksburg, MS 39180-5102 2006-06-02
1306803481 George County Hospital Psychiatric Unit 859 Winter Steet, Lucedale, MS 39452-6603 2006-05-01
1457330995 South Mississippi State Hospital Psychiatric Unit 823 Highway 589, Purvis, MS 39475-4194 2006-01-12
1831184951 Alliance Health Center Inc Psychiatric Unit 5000 Highway 39 N, Meridian, MS 39301-1021 2005-09-14
1801414115 Singing River Gulfport Psychiatric Unit 15200 Community Rd, Gulfport, MS 39503-3085 2020-07-13
1679036313 Progressive Medical Management of Batesville LLC Psychiatric Unit 155 Keating Rd, Batesville, MS 38606-2901 2019-04-10
1689191629 Boa Vida Hospital of Aberdeen, Ms, LLC Psychiatric Unit 400 S Chestnut St, Aberdeen, MS 39730-3335 2017-08-29
1033643937 Batesville Regional Medical Center, Inc. Psychiatric Unit 303 Medical Center Dr, Batesville, MS 38606-8608 2017-04-18
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Competitor

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City FAYETTE
Zip Code 39069

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Dataset Information

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.

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