CLAIBORNE COUNTY HOSPITAL (NPI# 1104904457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104904457 |
| Entity Type | Organization |
| Organization Name | CLAIBORNE COUNTY HOSPITAL |
| Practice Address |
123 Mccomb Avenue Port Gibson MS 39150-1004 |
| Practice Telephone | 6014375141 |
| Practice Fax Number | 6014378547 |
| Mailing Telephone | 6014375141 |
| Mailing Fax Number | 6014375166 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | RAY L SHOEMAKER (CEO) |
| Authorized Official Telephone | 6623211155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00029140 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700836350 | Claiborne County Hospital | General Acute Care Hospital | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2006-05-12 |
| 1104231943 | Claiborne County Hospital | Clinic/Center | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2014-06-30 |
| 1528319027 | Claiborne County Hospital | Psychiatric Unit | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2012-09-24 |
| 1710238324 | Claiborne County Hospital | Internal Medicine | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2012-09-21 |
| 1740531359 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2012-09-21 |
| 1497003610 | Claiborne County Hospital | General Acute Care Hospital | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2012-08-20 |
| 1760636583 | Claiborne County Hospital | Clinic/Center | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2008-11-06 |
| 1447338793 | Claiborne County Hospital | Psychiatric Unit | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2006-11-02 |
| Street Address |
123 MCCOMB AVENUE |
| City | PORT GIBSON |
| State | MS |
| Zip Code | 39150-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113135 | Eli George Ellis Jr. | Dentist | 911 Market St, Port Gibson, MS 39150 | 2006-11-21 |
| 1528032406 | David Mccaa Headley | Family Medicine | 405 Market St, Port Gibson, MS 39150 | 2006-02-15 |
| 1144500091 | Latoya Denise Colenberg Eakins | Dentist | 2045 Highway 61 N, Port Gibson, MS 39150 | 2011-08-24 |
| 1982914628 | Delarious Oneal Stewart | Counselor | 404 Market St, Port Gibson, MS 39150 | 2010-10-15 |
| 1073176749 | Ginetta Felton Anderson | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2019-04-18 |
| 1265753172 | Jennifer Leigh Greer | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2010-06-15 |
| 1578627782 | David M. Headley, M.d. Pa | Family Medicine | 405 Market St, Port Gibson, MS 39150-2024 | 2006-12-21 |
| 1427296748 | Claiborne County School District | Local Education Agency (LEA) | 404 Market St, Port Gibson, MS 39150-2025 | 2009-01-23 |
| 1235394966 | Claiborne County Family Health Center, Inc. | Clinic/Center | 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150-2050 | 2008-07-22 |
| 1740519123 | Claiborne County School District | Local Education Agency (LEA) | 880 Anthony St, Port Gibson, MS 39150-2050 | 2009-12-15 |
| Find all providers in zip 39150 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740531359 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2012-09-21 |
| 1831340363 | Patients Choice Medical Center of Claiborne County LLC | Medicare Defined Swing Bed Unit | 123 Mccomb Ave, Port Gibson, MS 39150-2915 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1740833391 | Guardian Angel Healthcare II, Inc. | Medicare Defined Swing Bed Unit | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | PORT GIBSON |
| Zip Code | 39150 |
Please comment or provide details below to improve the information on CLAIBORNE 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.