TUNICA COUNTY HEALTHCARE AUTHORITY (NPI# 1245360148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245360148 |
| Entity Type | Organization |
| Organization Name | TUNICA COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | TUNICA MEDICAL CLINIC |
| Practice Address |
1813 U. S. Highway 61 North Tunica MS 38676 |
| Mailing Address |
Po Box 789 Tunica MS 38676-0789 |
| Practice Telephone | 6623570012 |
| Practice Fax Number | 6623570021 |
| Mailing Telephone | 6623631465 |
| Mailing Fax Number | 6623633215 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | BARBARA CONWAY (CLINIC OPERATIONS OFFICER) |
| Authorized Official Telephone | 6623633224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
09014044 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014044 | 05 |
| Other Name | Type Code |
|---|---|
| Tunica Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629164512 | Tunica County Healthcare Authority | Family Medicine | 11273 U S Highway 61 North, Tunica Resorts, MS 38664 | 2006-10-05 |
| 1285042416 | Tunica County Healthcare Authority | Family Medicine | 1813 Highway 61 N, Tunica, MS 38676-9683 | 2014-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TUNICA COUNTY HEALTHCARE AUTHORITY | 11273 Hwy 61 North, Robinsonville, MS 38664-9705 |
| Street Address |
1813 U. S. HIGHWAY 61 NORTH |
| City | TUNICA |
| State | MS |
| Zip Code | 38676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1588215040 | Scpg Mississippi LLC | Pharmacy | 1068 Hwy 61 N, Tunica, MS 38676 | 2019-09-26 |
| 1265836142 | Freds Stores of Tennessee Inc | Pharmacy | 1068 Highway 61 N., Tunica, MS 38676 | 2014-10-21 |
| 1316278328 | Delta House Calls | Nurse Practitioner | 2073 Old Hwy 61 North, Suite # 2, Tunica, MS 38676 | 2010-01-15 |
| 1104074228 | Ebenezer Home Care LLC | Homemaker | 1189 Main St, Tunicia, MS 38676 | 2008-09-03 |
| 1639356611 | Vincent H Copeland | Dentist | 1040 Highway 61 South, Tunica, MS 38676 | 2008-01-22 |
| 1609063742 | Phillip Parker | Counselor | 1459 Main St., Tunica, MS 38676 | 2007-10-03 |
| 1780749739 | Tunica Quality Drugs, Inc | Pharmacy | 1068 Highway 61 N, Tunica, MS 38676 | 2006-12-27 |
| 1073625760 | Rcg Tunica, LLC | Clinic/Center | 1821 U.S. Hwy. 61 North, Tunica, MS 38676 | 2006-08-31 |
| 1538120258 | Preventive Care Health Services LLC | Nurse Practitioner | 2073 Old Highway 61 N, Ste#2, Tunica, MS 38676 | 2006-03-31 |
| Find all providers in zip 38676 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.