SINGING RIVER HEALTH SYSTEM (NPI# 1255728838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255728838 |
| Entity Type | Organization |
| Organization Name | SINGING RIVER HEALTH SYSTEM |
| Other Organization Name | VANCLEAVE MEDICAL CENTER |
| Practice Address |
11700 Highway 57 Vancleave MS 39565-8309 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2288261482 |
| Mailing Telephone | 2284978874 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | LEE BOND (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2284977591 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Vancleave Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811125420 | Singing River Health System | Preventive Medicine | 5912 Old Mobile Hwy, Suite 1, Pascagoula, MS 39581-4516 | 2009-06-23 |
| 1629287719 | Singing River Health System | Clinic/Center | 7001 Highway 614, Moss Point, MS 39562 | 2007-05-22 |
| 1689755548 | Singing River Health System | Hospice Care, Community Based | 1121 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-10-18 |
| 1851938898 | Singing River Health System | Pharmacy | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-12-10 |
| 1548700909 | Singing River Health System | Skilled Nursing Facility | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-03-06 |
| 1457638082 | Singing River Health System | Pharmacy | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2011-11-10 |
| 1174832810 | Singing River Health System | Durable Medical Equipment & Medical Supplies | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2010-09-29 |
| 1083893937 | Singing River Health System | Clinic/Center | 2101 Highway 90, Gautier, MS 39553-5340 | 2007-10-29 |
| 1003005133 | Singing River Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2101 Highway 90, Gautier, MS 39553-5340 | 2007-10-15 |
| 1053528109 | Singing River Health System | Social Worker | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2007-05-17 |
| Street Address |
11700 HIGHWAY 57 |
| City | VANCLEAVE |
| State | MS |
| Zip Code | 39565-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802333 | Timothy R Ivey | Internal Medicine | 11700 Highway 57, Vancleave, MS 39565-8309 | 2005-06-21 |
| 1992105191 | Jami Lechner | Nurse Practitioner | 11700 Highway 57, Vancleave, MS 39565-8309 | 2014-08-26 |
| 1164689071 | Whitney W Moore | Nurse Practitioner | 11700 Highway 57, Vancleave, MS 39565-8309 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761950 | Jake Wallace Carzoli | Nurse Practitioner | 11700 Ms-57, Vancleave, MS 39565 | 2018-02-22 |
| 1992129316 | Ashlynn Evan Crum | Speech-Language Pathologist | 8728 Doobie Ct., Vancleave, MS 39565 | 2014-02-05 |
| 1851695720 | Coast Nurse Practitioners, Inc. | Nurse Practitioner | 13300 R.s. Kimball Road, Vancleave, MS 39565 | 2011-01-06 |
| 1538484761 | Sarah Burke | Speech-Language Pathologist | 477 Colonel Vickrey Road, Vancleave, MS 39565 | 2010-03-31 |
| 1194058842 | Jackson County School District | Local Education Agency (LEA) | 4700 Colonel Vickrey Road, Vancleave, MS 39565 | 2009-09-14 |
| 1962566224 | John Michael Martin | Nurse Practitioner | 1330 R S Kimball, Vancleave, MS 39565 | 2006-12-21 |
| 1619919156 | Lennon E. Bowen Iv | Psychiatry & Neurology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2006-06-11 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1164971867 | Clarissa Picard | Occupational Therapist | 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 | 2016-09-23 |
| 1629427174 | Amanda Rayburn | Registered Nurse | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2016-06-06 |
| Find all providers in zip 39565 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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.