HUMPHREYS COUNTY MEMORIAL HOSPITAL (NPI# 1154455707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154455707 |
| Entity Type | Organization |
| Organization Name | HUMPHREYS COUNTY MEMORIAL HOSPITAL |
| Practice Address |
500 C C Rd Belzoni MS 39038-3806 |
| Practice Telephone | 6622473831 |
| Practice Fax Number | 6622474114 |
| Mailing Telephone | 6622473831 |
| Mailing Fax Number | 6622474114 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | RAY SHOEMAKER (CEO) |
| Authorized Official Telephone | 6622473831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
21169 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00050901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720253735 | Humphreys County Memorial Hospital | Clinic/Center | 500 Ccc Road, Belzoni, MS 39038-0000 | 2008-04-30 |
| 1689842999 | Humphreys County Memorial Hospital | Medicare Defined Swing Bed Unit | 500 C C Rd, Belzoni, MS 39038-3806 | 2008-02-20 |
| 1437353596 | Humphreys County Memorial Hospital | Medicare Defined Swing Bed Unit | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-06-13 |
| 1356460869 | Humphreys County Memorial Hospital | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-28 |
| Street Address |
500 C C RD |
| City | BELZONI |
| State | MS |
| Zip Code | 39038-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951324 | Patients Choice Medical Center of Humphreys County, LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2006-07-11 |
| 1699097105 | Amber Mixon | Physical Therapy Assistant | 500 C C Rd, Belzoni, MS 39038-3806 | 2010-02-24 |
| 1689842999 | Humphreys County Memorial Hospital | Medicare Defined Swing Bed Unit | 500 C C Rd, Belzoni, MS 39038-3806 | 2008-02-20 |
| 1437353596 | Humphreys County Memorial Hospital | Medicare Defined Swing Bed Unit | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-06-13 |
| 1356460869 | Humphreys County Memorial Hospital | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-28 |
| 1366576902 | Patients Choice Medical Center of Humphreys County, LLC | Psychiatric Unit | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-15 |
| 1245364892 | Patients Choice Medical Center of Humphreys County LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366628927 | Patients' Choice Medical Center of Humphreys County, LLC | Family Medicine | 500 Ccc Rd, Belzoni, MS 39038 | 2008-01-14 |
| 1689731606 | Sean Shahzad Dailami-pour | Family Medicine | 116 Hayden Street, Belzoni, MS 39038 | 2007-01-02 |
| 1235295304 | G A Carmichael Family Health Center Inc | Clinic/Center | 1301 E First St, Belzoni, MS 39038 | 2006-12-30 |
| 1922023860 | Mid-delta Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 15982 Hwy 49, Belzoni, MS 39038 | 2006-07-13 |
| 1104885367 | We Care Equipment & Supply Inc | Durable Medical Equipment & Medical Supplies | 104 S Hayden St, Belzoni, MS 39038 | 2006-03-17 |
| 1528376894 | Elizabeth Nichols Lott | Nurse Practitioner | 107 Church St., Belzoni, MS 39038 | 2010-09-20 |
| 1851624928 | Emily Roberts Aust | Nurse Practitioner | 107 Church St., Belzoni, MS 39038 | 2009-09-08 |
| 1104955301 | Daisy Marie Thomas | Family Medicine | 500 Ccc Road, Belzoni, MS 39038 | 2007-03-05 |
| 1972643708 | Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 107 Church St, Belzoni, MS 39038 | 2007-02-08 |
| 1598991697 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 1301 First Street Extension, Belzoni, MS 39038-0000 | 2009-06-03 |
| Find all providers in zip 39038 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951324 | Patients Choice Medical Center of Humphreys County, LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2006-07-11 |
| 1356460869 | Humphreys County Memorial Hospital | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-28 |
| 1245364892 | Patients Choice Medical Center of Humphreys County LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 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.