LAIRD HOSPITAL, INC. (NPI# 1114330347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114330347 |
| Entity Type | Organization |
| Organization Name | LAIRD HOSPITAL, INC. |
| Other Organization Name | FAMILY MEDICAL CLINIC |
| Practice Address |
1500 Highway 19 N Meridian MS 39307-5335 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6014835353 |
| Practice Fax Number | 6016963231 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323170 | Laird Hospital, Inc. | Midwife | 252 Northside Dr, Newton, MS 39345-9756 | 2020-10-13 |
| 1275873572 | Laird Hospital, Inc. | Nurse Practitioner | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2013-02-22 |
| 1851643928 | Laird Hospital, Inc. | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2012-10-12 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| 1821046798 | Laird Hospital, Inc. | Surgery | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-04 |
| 1518924752 | Laird Hospital, Inc. | General Acute Care Hospital | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-01 |
| 1033176276 | Laird Hospital, Inc. | Medicare Defined Swing Bed Unit | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAIRD HOSPITAL, INC. | 25117 Hwy 15, Union, MS 39365-9088 |
| Street Address |
1500 HIGHWAY 19 N |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225632 | Robert K Kiehn | Family Medicine | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2005-06-20 |
| 1205218393 | Hunter Harrison | Family Medicine | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2015-06-24 |
| 1831440759 | Courtney Pittman | Nurse Practitioner | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2012-10-02 |
| 1063776698 | Rush Care, Inc. | Pediatrics | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2012-06-28 |
| 1619154051 | Christy Michelle Mnzava | Family Medicine | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2008-01-29 |
| 1063616837 | William Edward Elliott | Pediatrics | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2007-06-13 |
| 1760527741 | Kristin Thompson Kerley | Nurse Practitioner | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105447 | Anderson Regional Medical Center | Clinic/Center | 1600 22nd Avenue, Medical Towers 3, 3rd Floor, Suite B, Meridian, MS 39301 | 2013-06-25 |
| 1881632875 | Goodall-witcher Healthcare Foundation | Clinic/Center | 9295 Highway 6, Meridian, TX 76665 | 2006-06-03 |
| 1881059921 | East Central Mississippi Health Network Incorporated | Clinic/Center | 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307 | 2015-12-16 |
| 1285073353 | Anderson Regional Medical Center | Clinic/Center | 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307-7259 | 2013-06-21 |
| 1275879314 | Kemper Cah, Inc | Clinic/Center | 4331 Highway 39 N, Meridian, MS 39301-1007 | 2012-12-18 |
| 1811233950 | Rush Medical Foundation | Clinic/Center | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2012-12-18 |
| 1932362860 | Rush Care, Inc. | Clinic/Center | 1710 14th St, Meridian, MS 39301-4140 | 2008-07-10 |
| 1699735233 | Rush Care, Inc. | Clinic/Center | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2006-03-27 |
| 1649230111 | Rush Care, Inc. | Clinic/Center | 5009 Hwy 493, Meridian, MS 39305-1635 | 2006-03-27 |
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| 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.