LIFEBRITE HOSPITAL GROUP OF ABERDEEN LLC (NPI# 1265965701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265965701 |
Entity Type | Organization |
Organization Name | LIFEBRITE HOSPITAL GROUP OF ABERDEEN LLC |
Other Organization Name | LIFEBRITE SURGICAL CENTER OF ABERDEEN |
Practice Address |
502 S Chestnut St Aberdeen MS 39730-3337 |
Mailing Address |
400 S Chestnut St Aberdeen MS 39730-3335 |
Practice Telephone | 6623699501 |
Enumeration Date | 2017-04-11 |
Last Update Date | 2017-04-11 |
Authorized Official Name | CHRISTIAN FLETCHER (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6785059657 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MS | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LifeBrite Surgical Center of Aberdeen | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538692074 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
1356874895 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
1720511751 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-06 |
1639602667 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2017-04-06 |
1801329834 | Lifebrite Hospital Group of Aberdeen LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-06 |
1396278511 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-05 |
1851824080 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 40128 Hamilton Rd, Hamilton, MS 39746-9686 | 2017-04-05 |
1235662453 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 4, Aberdeen, MS 39730-3300 | 2017-04-05 |
Street Address |
502 S CHESTNUT ST |
City | ABERDEEN |
State | MS |
Zip Code | 39730-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669724183 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2012-10-08 |
1831728633 | Clay County Medical Corporation | Surgery | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2020-04-03 |
1720511751 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-06 |
1760880785 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2014-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
Find all providers in zip 39730 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538697198 | Swansons Walk-in Clinic LLC | Clinic/Center | 217 N Boone St, Aberdeen, WA 98520-7612 | 2017-05-26 |
1669724183 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2012-10-08 |
1720511751 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-06 |
1477929495 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2015-08-13 |
1760880785 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2014-12-08 |
1205090206 | Avera St. Luke's | Clinic/Center | 310 S Penn St Ste 203, Aberdeen, SD 57401-4553 | 2008-07-18 |
1992904213 | Winkler Chiropractic Clinic | Clinic/Center | 803 S Main St, Aberdeen, SD 57401-6018 | 2007-07-16 |
1265522932 | Grays Harbor Vision Clinic, Inc. | Clinic/Center | 301 N Broadway St, Aberdeen, WA 98520-3933 | 2006-10-13 |
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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.