QUITMAN COUNTY HOSPITAL, LLC (NPI# 1174989784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174989784 |
| Entity Type | Organization |
| Organization Name | QUITMAN COUNTY HOSPITAL, LLC |
| Other Organization Name | FAMILY MEDICAL CENTER |
| Practice Address |
1024 Martin Luther King Dr Marks MS 38646-1832 |
| Practice Telephone | 6623263502 |
| Practice Fax Number | 6623267077 |
| Mailing Telephone | 6623263502 |
| Mailing Fax Number | 6623267077 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | JEFFERY J. GERACI (ADMINISTRATOR) |
| Authorized Official Telephone | 6623268031 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUITMAN COUNTY HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419166 | Quitman County Hospital, LLC | General Acute Care Hospital | 340 Getwell St, Marks, MS 38646-9785 | 2006-05-28 |
| 1770941445 | Quitman County Hospital, LLC | Family Medicine | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2016-02-09 |
| 1467660282 | Quitman County Hospital, LLC | Psychiatric Unit | 340 Getwell St, Marks, MS 38646-9785 | 2007-05-18 |
| 1306054127 | Quitman County Hospital, LLC | General Acute Care Hospital | 340 Getwell St, Marks, MS 38646-9785 | 2007-05-18 |
| 1649309915 | Quitman County Hospital, LLC | Radiology | 340 Getwell St, Marks, MS 38646-9785 | 2007-03-05 |
| 1477682557 | Quitman County Hospital, LLC | Internal Medicine | 340 Getwell St, Marks, MS 38646-9785 | 2007-03-05 |
| 1043230923 | Quitman County Hospital, LLC | General Acute Care Hospital | 340 Getwell St, Marks, MS 38646-9785 | 2006-07-20 |
| 1578583456 | Quitman County Hospital, LLC | Psychiatric Unit | 340 Getwell St, Marks, MS 38646-9785 | 2006-07-20 |
| Street Address |
1024 MARTIN LUTHER KING DR |
| City | MARKS |
| State | MS |
| Zip Code | 38646-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407109945 | Lea Ann Byrd | Nurse Practitioner | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2012-10-22 |
| 1720585490 | Delta Medical Foundation | Clinic/Center | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2018-04-10 |
| 1467804476 | Jacquelyn Roxane Ainsworth | Nurse Practitioner | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2016-07-01 |
| 1124470166 | Warrington Clinic | Nurse Practitioner | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2016-07-01 |
| 1770941445 | Quitman County Hospital, LLC | Family Medicine | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1164573176 | Warrington Clinic, P.a. | Family Medicine | 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 | 2007-01-16 |
| 1205932076 | Medstock, Inc. | Durable Medical Equipment & Medical Supplies | 206 East Main Street, Marks, MS 38646 | 2006-09-16 |
| 1538167564 | Aaron E. Henry Community Health | Clinic/Center | Hwy 3 South, Marks, MS 38646 | 2005-07-13 |
| 1700020278 | Karanpreet S Bains | Internal Medicine | 411 Poplar Street, Marks, MS 38646 | 2009-04-28 |
| 1790873669 | Dons Pharmacy Inc | Pharmacist | 200 E Main St, Marks, MS 38646 | 2006-10-10 |
| 1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
| 1578665840 | Salvador Nierras Petilos | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-09-05 |
| 1114127099 | George Edward Farrell | Nurse Practitioner | 411 Poplar Street, Marks, MS 38646-0347 | 2007-07-19 |
| 1992979124 | Quitman County School District | Local Education Agency (LEA) | Highway 3 South, Marks, MS 38646-0805 | 2008-04-18 |
| Find all providers in zip 38646 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720585490 | Delta Medical Foundation | Clinic/Center | 1024 Martin Luther King Dr, Marks, MS 38646-1832 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 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.