CLAY COUNTY MEDICAL CORPORATION (NPI# 1043328313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043328313 |
Entity Type | Organization |
Organization Name | CLAY COUNTY MEDICAL CORPORATION |
Other Organization Name | CLAY COUNTY MED CTR - SUR PHYS |
Practice Address |
835 Medical Center Dr West Point MS 39773-9320 |
Practice Telephone | 6624952128 |
Practice Fax Number | 6624952361 |
Mailing Telephone | 6624952128 |
Mailing Fax Number | 6624952361 |
Enumeration Date | 2006-08-28 |
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 | CLAY COUNTY MEDICAL CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
13-312 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 9015281 | 05 | |
MS | BLUE CROSS BLUE SHIELD OF MISSISSIPPI | 000019079 | 01 |
Other Name | Type Code |
---|---|
Clay County Med Ctr - Sur Phys | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285184416 | Clay County Medical Corporation | Clinic/Center | 63 Medical Center Dr, West Point, MS 39773-0430 | 2016-10-12 |
1508224312 | Clay County Medical Corporation | Clinic/Center | 977 Emergency Dr, West Point, MS 39773-9322 | 2016-02-08 |
1639284409 | Clay County Medical Corporation | General Acute Care Hospital | 850 Emergency Drive, Nmmc West Point Pharmacy, West Point, MS 39773 | 2006-08-20 |
1124649678 | Clay County Medical Corporation | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2020-05-06 |
1831728633 | Clay County Medical Corporation | Surgery | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2020-04-03 |
1184112013 | Clay County Medical Corporation | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2018-04-26 |
1639684152 | Clay County Medical Corporation | Surgery | 70 Medical Plz, Eupora, MS 39744-4018 | 2017-12-06 |
1164961330 | Clay County Medical Corporation | Surgery | 111 Medical Center Dr, West Point, MS 39773-0428 | 2017-02-21 |
1437504719 | Clay County Medical Corporation | Family Medicine | 328 High St, West Point, MS 39773-2815 | 2016-04-25 |
1013318898 | Clay County Medical Corporation | Clinic/Center | 830 Medical Center Dr, West Point, MS 39773-9319 | 2014-09-11 |
Street Address |
835 MEDICAL CENTER DR |
City | WEST POINT |
State | MS |
Zip Code | 39773-9320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932111325 | Christopher Lyell Behr | Emergency Medicine | 835 Medical Center Dr, West Point, MS 39773-9320 | 2006-08-13 |
1265827299 | Shanna Stringer | Physical Therapist | 835 Medical Center Dr, West Point, MS 39773-9320 | 2015-04-06 |
1366834806 | Meredith Mcclure | Dietitian, Registered | 835 Medical Center Dr, West Point, MS 39773-9320 | 2015-02-20 |
1427458959 | April Morgan | Dietitian, Registered | 835 Medical Center Dr, West Point, MS 39773-9320 | 2014-09-03 |
1659798619 | Clay County Medical Corporation | Hospitalist | 835 Medical Center Dr, West Point, MS 39773-9320 | 2014-03-27 |
1477799708 | Stacey S George | Nurse Anesthetist, Certified Registered | 835 Medical Center Dr, West Point, MS 39773-9320 | 2008-12-16 |
1265683775 | Clay County Medical | General Acute Care Hospital | 835 Medical Center Dr, West Point, MS 39773-9320 | 2008-10-02 |
1801961172 | Carlie Godwin | Anesthesiologist Assistant | 835 Medical Center Dr, West Point, MS 39773-9320 | 2006-11-22 |
1467525428 | Clay County Medical Corporation | Clinic/Center | 835 Medical Center Dr, West Point, MS 39773-9320 | 2006-11-16 |
1992812291 | Clay County Medical Corporation | Ambulance | 835 Medical Center Dr, West Point, MS 39773-9320 | 2006-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
Find all providers in zip 39773 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336407394 | Clay County Medical Corporation | Clinic/Center | 850 Emergency Dr, West Point, MS 39773-9357 | 2012-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
1588224802 | Flowood Surgery Center LLC | Clinic/Center | 120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 | 2019-06-18 |
1912480070 | Sog Surgery Center LLC | Clinic/Center | 1211 S Gloster St Ste B, Tupelo, MS 38801-6535 | 2018-09-13 |
1942793823 | Starkville Surgery Center LLC | Clinic/Center | 110 Walker Way, Starkville, MS 39759-6607 | 2018-06-14 |
1194214510 | Specialty Surgery & Laser Center | Clinic/Center | 306 Bradley Rd Ste A, Corinth, MS 38834-7047 | 2018-05-02 |
1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
Find all providers with the same taxonomy |
City | WEST POINT |
Zip Code | 39773 |
Please comment or provide details below to improve the information on CLAY COUNTY MEDICAL CORPORATION.
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.