MISSISSIPPI STATE HOSPITAL WHITFIELD (NPI# 1255417457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255417457 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE HOSPITAL WHITFIELD |
| Other Organization Name | WHITFIELD MEDICAL SURGICAL HOSPITAL ROOM & BOARD PSYCH |
| Practice Address |
3550 Highway 468 W Pearl MS 39208-5529 |
| Mailing Address |
Po Box 157a Whitfield MS 39193-0157 |
| Practice Telephone | 6013518000 |
| Practice Fax Number | 6013518301 |
| Mailing Telephone | 6013518000 |
| Mailing Fax Number | 6013518301 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | MR. JAMES G CHASTAIN (DIRECTOR) |
| Authorized Official Telephone | 6013518000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 11-298 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00020011 | 05 |
| Other Name | Type Code |
|---|---|
| Whitfield Medical Surgical Hospital Room & Board Psych | Doing Business As Name - Organization |
| Street Address |
3550 HIGHWAY 468 W |
| City | PEARL |
| State | MS |
| Zip Code | 39208-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487727095 | Raymundo Cadag Trinanes | Nurse Practitioner | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-11-15 |
| 1467532903 | Mississippi State Hospital | Skilled Nursing Facility | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-10-17 |
| 1720090715 | Jenee Michelle Mason | Clinical Nurse Specialist | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-08-12 |
| 1902814361 | Kenneth Ray Daughtrey Jr. | Psychiatry & Neurology | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-08-03 |
| 1306866322 | Georgie E Coleman | Nurse Anesthetist, Certified Registered | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-20 |
| 1891720454 | Sonja T Stiff | Dentist | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-12 |
| 1275566697 | Teresa M. Mendenhall | Family Medicine | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-09 |
| 1558393843 | Maurice Carter | Nurse Practitioner | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-07 |
| 1467484170 | Margaret E. Tidd | Psychiatry & Neurology | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-06 |
| 1750311874 | Nancy Sharon Martin | Psychiatry & Neurology | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| 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 |
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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.