TISHOMINGO HEALTH SERVICES, INC. (NPI# 1265543516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265543516 |
Entity Type | Organization |
Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
Other Organization Name | TISHOMINGO HEALTH SERVICES |
Practice Address |
1777 Curtis Dr Iuka MS 38852 |
Practice Telephone | 6624234074 |
Practice Fax Number | 6624234550 |
Mailing Telephone | 6624234074 |
Mailing Fax Number | 6624234550 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-11-11 |
Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
Authorized Official Telephone | 6623773978 |
Is Organization Subpart | Y |
Parent Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
13-221 | MS | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 0050405 | 05 |
Other Name | Type Code |
---|---|
Tishomingo Health Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770938979 | Tishomingo Health Services, Inc. | Clinic/Center | 367 Highway 72, Burnsville, MS 38833-9320 | 2016-04-26 |
1295105922 | Tishomingo Health Services, Inc. | Clinic/Center | 26 3rd St, Belmont, MS 38827-7737 | 2015-10-07 |
1013028356 | Tishomingo Health Services, Inc. | Clinic/Center | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
Street Address |
1777 CURTIS DR |
City | IUKA |
State | MS |
Zip Code | 38852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912933409 | Mohamed Z Knefati | Neuromusculoskeletal Medicine & OMM | 1777 Curtis Dr, Iuka, MS 38852-1001 | 2006-06-25 |
1013028356 | Tishomingo Health Services, Inc. | Clinic/Center | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
Find all providers in zip 38852 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968180 | Caremed Ems, LLC | Ambulance | 1300 Access Rd Ste 200, Oxford, MS 38655-5211 | 2020-10-06 |
1538604970 | Priority Medical Transportation, Inc. | Ambulance | 2653 W Oxford Loop Ste 101a, Oxford, MS 38655-2928 | 2016-12-20 |
1760832638 | North Mississippi Ground Ambulance, LLC | Ambulance | 1361 S Green St, Tupelo, MS 38804-6304 | 2016-06-21 |
1386038958 | Medicone Medical Response of Northern Mississippi, Inc | Ambulance | 5226 Hacks Cross Rd, Olive Branch, MS 38654-8158 | 2015-03-23 |
1972995637 | Fleetwood Transport Services LLC | Ambulance | 1146 Crockett Loop S, Hernando, MS 38632-8369 | 2015-03-04 |
1659653483 | Asap Ems Corporation | Ambulance | 116 Mason St, Laurel, MS 39440-4448 | 2011-09-19 |
1295028207 | First Call Ambulance Service, LLC | Ambulance | 240 Stateline Road West, Southaven, MS 38671 | 2011-05-24 |
1811208309 | Rural Rapid Response Inc | Ambulance | 165 Walnut St. South, Meadville, MS 39653 | 2010-06-29 |
1851555072 | Emmanuel Medical Transports and Services | Ambulance | 1332 Rasco Rd, Suite 344, Southaven, MS 38671 | 2008-07-16 |
1386822872 | Yazoo Ambulance Service, Inc. | Ambulance | 780 E Fourteenth St, Yazoo City, MS 39194-2712 | 2008-02-06 |
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.