PERRY COUNTY GENERAL HOSPITAL LLC (NPI# 1174783757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174783757 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY GENERAL HOSPITAL LLC |
| Other Organization Name | SAFE HARBOR SENIOR CARE GPU |
| Practice Address |
206 Bay Street Richton MS 39476-1665 |
| Mailing Address |
Po Box 1665 Richton MS 39476-1665 |
| Practice Telephone | 6017886316 |
| Practice Fax Number | 6017882268 |
| Mailing Telephone | 6017886316 |
| Mailing Fax Number | 6017882268 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. JOHN DAVID PARIS (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 6017886316 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERRY COUNTY GENERAL HOSPITAL LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 12-234 | MS | Hospital Units |
| Other Name | Type Code |
|---|---|
| Safe Harbor Senior Care GPU | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982864526 | Perry County General Hospital LLC | Medicare Defined Swing Bed Unit | 206 Bay Street, Richton, MS 39476-1665 | 2008-06-16 |
| Street Address |
206 BAY STREET |
| City | RICHTON |
| State | MS |
| Zip Code | 39476-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932143989 | Perry County General Hospital | General Acute Care Hospital | 206 Bay Street, Richton, MS 39476-1665 | 2006-06-16 |
| 1982864526 | Perry County General Hospital LLC | Medicare Defined Swing Bed Unit | 206 Bay Street, Richton, MS 39476-1665 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| 1518404136 | Mary Mcswain | Registered Nurse | 36a Amos Mcswain Rd, Richton, MS 39476 | 2017-01-20 |
| 1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
| 1689010209 | Par Medical Inc | Durable Medical Equipment & Medical Supplies | 156 Apple Avenue., Richton, MS 39476 | 2013-05-22 |
| 1164734109 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 403 N Front St, Richton, MS 39476 | 2010-07-07 |
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| 1851433585 | James Michael Pace | Family Medicine | 406 South Front Street, Richton, MS 39476 | 2007-02-12 |
| 1306931431 | Coastal Family Health Center Inc | Clinic/Center | 39455 Highway 63 North, Richton, MS 39476 | 2006-10-04 |
| 1942233283 | Hattiesburg Clinic, Pa | Clinic/Center | 303 Red Bud Avenue, Richton, MS 39476 | 2006-07-09 |
| 1518913060 | Patricia Pearce Dykes | Nurse Practitioner | 210 Bay Ave.l, Richton, MS 39476 | 2006-05-26 |
| Find all providers in zip 39476 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
| 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.