NORTH MISSISSIPPI STATE HOSPITAL (NPI# 1114054301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114054301 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI STATE HOSPITAL |
| Practice Address |
1937 Briar Ridge Rd Tupelo MS 38804-5963 |
| Practice Telephone | 6626904200 |
| Practice Fax Number | 6626904227 |
| Mailing Telephone | 6626904200 |
| Mailing Fax Number | 6626904227 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | MISS PAUL A CALLENS (FACILITY DIRECTOR) |
| Authorized Official Telephone | 6626904200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 31328 | MS | Hospitals |
| Street Address |
1937 BRIAR RIDGE RD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637445 | Dennis L. Rowland | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2005-08-24 |
| 1710532239 | Sabrina Hurd Hall | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2019-08-02 |
| 1457834913 | Whitney Tate | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804 | 2018-09-11 |
| 1194850917 | North Mississippi State Hospital Pharmacy | Pharmacy | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160782 | Chandra Sumlin-brown Dba Sumlin Behavioral Services | Psychiatric Hospital | 8237b Okatibbee Dam Road, Collinsville, MS 39325 | 2016-09-01 |
| 1588052096 | Charles Harris Phd Pllc | Psychiatric Hospital | 1217 Nelson Dr, Ocean Springs, MS 39564-3032 | 2015-01-06 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1598943631 | Ms State Hospital Crisis Intervention Center-brookhaven | Psychiatric Hospital | 725 Brookman Dr Ext, Brookhaven, MS 39601-2311 | 2008-01-31 |
| 1568671337 | Three Oaks Behavioral Health of Ridgeland, LLC | Psychiatric Hospital | 408 Fontaine Place, Suite 101, Ridgeland, MS 39157 | 2007-05-21 |
| 1265486492 | Harrison Hma, Inc. | Psychiatric Hospital | 180a Debuys Rd, Biloxi, MS 39531-4402 | 2006-05-20 |
| 1093785859 | Uhs of Parkwood Inc | Psychiatric Hospital | 8135 Goodman Rd, Olive Branch, MS 38654-2103 | 2006-01-25 |
| 1487638441 | Brentwood Acquisition Inc | Psychiatric Hospital | 3531 Lakeland Dr, Flowood, MS 39232-8016 | 2005-12-02 |
| 1063989010 | Oceans Behavioral Hospital of Biloxi LLC | Psychiatric Hospital | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2018-10-29 |
| 1750891792 | Tbd Acquisition II LLC | Psychiatric Hospital | 11150 Highway 49, Gulfport, MS 39503-4110 | 2017-10-04 |
| 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.