PONTOTOC HEALTH SERVICES, INC. (NPI# 1073920328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920328 |
| Entity Type | Organization |
| Organization Name | PONTOTOC HEALTH SERVICES, INC. |
| Other Organization Name | CHICKASAW MEDICAL CLINIC |
| Practice Address |
208 Country Club Rd Houston MS 38851-9326 |
| Mailing Address |
176 S Main St Pontotoc MS 38863-3311 |
| Practice Telephone | 6624563437 |
| Mailing Telephone | 6624895510 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
| Authorized Official Telephone | 6623773978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
16091 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chickasaw Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824280 | Pontotoc Health Services, Inc. | Clinic/Center | 2161 South Lamar Boulevard, Oxford, MS 38655 | 2014-09-19 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1063813335 | Pontotoc Health Services, Inc. | Clinic/Center | 400 Doctors Dr, New Albany, MS 38652-3109 | 2014-09-05 |
| 1538576772 | Pontotoc Health Services, Inc. | Clinic/Center | 345 Highway 15 N, Pontotoc, MS 38863-1105 | 2014-07-21 |
| 1053728139 | Pontotoc Health Services, Inc. | Clinic/Center | 202 Main St, Ecru, MS 38841-9604 | 2014-07-21 |
| 1609979053 | Pontotoc Health Services, Inc. | Clinic/Center | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-09-07 |
| 1720198641 | Pontotoc Health Services, Inc. | Ambulance | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| 1962512871 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| 1568572485 | Pontotoc Health Services, Inc. | Nursing Facility/Intermediate Care Facility | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| Street Address |
208 COUNTRY CLUB RD |
| City | HOUSTON |
| State | MS |
| Zip Code | 38851-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710097134 | North Mississippi Medical Clinics Inc | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-08-30 |
| 1316477607 | William Morgan | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2017-06-19 |
| 1184725558 | Derek Moeller | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-09-26 |
| 1093817306 | Angela Furr | Nurse Practitioner | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
| 1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
| 1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
| 1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
| 1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
| 1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
| 1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
| 1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1134212038 | Chickasaw Dental Group L. L. C. | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-10-02 |
| Find all providers in zip 38851 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548731169 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1548608748 | Mercy St Francis Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2013-06-10 |
| 1710004486 | Texas County Memorial Hospital | Clinic/Center | 1337 S Sam Houston Blvd, Suite 200, Houston, MO 65483-2046 | 2007-03-26 |
| 1063539732 | Texas County Memorial Hospital | Clinic/Center | 1335 S Sam Houston Blvd, Houston, MO 65483-2046 | 2007-03-26 |
| 1194833400 | Southern Health Corp. of Houston, Inc. | Clinic/Center | 1002 E Madison St, Houston, MS 38851-2417 | 2006-08-27 |
| 1083721732 | Southern Health Corp. of Houston, Inc | Clinic/Center | 105 Hillcrest Dr, Houston, MS 38851-2430 | 2006-08-25 |
| 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 | ||||
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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.