MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. (NPI# 1104138940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138940 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. |
| Other Organization Name | METHODIST ORTHOTICS & PROSTHETICS CLEVELAND |
| Practice Address |
804 1st St Cleveland MS 38732-2310 |
| Mailing Address |
1350 E Woodrow Wilson Ave Jackson MS 39216-5112 |
| Practice Telephone | 6628466555 |
| Practice Fax Number | 6628466655 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-10-15 |
| Authorized Official Name | GARY ARMSTRONG (CFO) |
| Authorized Official Telephone | 6019812611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Methodist Orthotics & Prosthetics Cleveland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803926 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1607 Louisville Ave, Monroe, LA 71201-6027 | 2007-02-01 |
| 1770621963 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1 Layfair Dr Ste 300, Flowood, MS 39232-9717 | 2007-02-01 |
| 1790711273 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Physical Medicine & Rehabilitation | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2006-06-25 |
| 1942359765 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Rehabilitation Unit | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-10 |
| 1841349792 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | General Acute Care Hospital | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-09 |
| Street Address |
804 1ST ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955356 | New Covenant Hospice, LLC | Hospice Care, Community Based | 804 1st St, Suite 1, Cleveland, MS 38732-2310 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1225219363 | Acor Orthopaedic, Inc. | Prosthetic/Orthotic Supplier | 18700 S Miles Rd, Cleveland, OH 44128-4242 | 2007-11-16 |
| 1417099284 | University Primary Care Practices | Prosthetic/Orthotic Supplier | 14100 Cedar Rd Ste 120, Cleveland, OH 44121-3234 | 2007-02-12 |
| 1417950486 | Leimkuehler, Inc. | Prosthetic/Orthotic Supplier | 4625 Detroit Ave, Cleveland, OH 44102-2214 | 2005-05-24 |
| 1912440843 | Frederick Customeyez Prosthetics LLC | Prosthetic/Orthotic Supplier | 1422 Euclid Ave, Suite 802, Cleveland, OH 44115-1902 | 2016-11-26 |
| 1427390145 | Manuel Garcia Prosthetics Lab., Inc. | Prosthetic/Orthotic Supplier | 4635 Richmond Rd, Suite #106, Cleveland, OH 44128-5980 | 2013-03-20 |
| 1558545418 | Dynamic Prosthetic & Orthotic | Prosthetic/Orthotic Supplier | 2700 Westside Dr Nw, Suite 306, Cleveland, TN 37312-3699 | 2007-12-27 |
| 1427114362 | Orthotic & Prosthetic Specialties, Inc. | Prosthetic/Orthotic Supplier | 11100 Euclid Ave, University Hospitals Bolwell #5014, Cleveland, OH 44106-1716 | 2006-12-28 |
| 1659465763 | University Primary Care Practices Inc | Prosthetic/Orthotic Supplier | 27100 Chardon Rd # 100, Cleveland, OH 44143-1116 | 2006-10-03 |
| 1447223557 | Southeastern Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 2080 Chambliss Ave Nw, Suite 5, Cleveland, TN 37311-3894 | 2006-02-09 |
| Find all providers in CLEVELAND | ||||
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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.