NESHOBA COUNTY GENERAL HOSPITAL (NPI# 1275621211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275621211 |
| Entity Type | Organization |
| Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Practice Address |
1122 E Main St Suite 4 Philadelphia MS 39350-2348 |
| Practice Telephone | 6016561001 |
| Practice Fax Number | 6016567555 |
| Mailing Telephone | 6016561001 |
| Mailing Fax Number | 6016567555 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | PAULA CLEARMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 6016561001 |
| Authorized Official Credential | F.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
========= | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06074366 | 05 | |
| MS | RAILROAD MEDICARE | P00218047 | 01 |
| MS | RAILROAD MEDICARE | P00218048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1942399118 | Neshoba County General Hospital | Pediatrics | 1122 E Main St Ste 6, Philadelphia, MS 39350-2348 | 2006-10-12 |
| 1003834979 | Neshoba County General Hospital | Clinic/Center | 213 Hospital Rd W, Philadelphia, MS 39350-2211 | 2006-07-18 |
| 1144775107 | Neshoba County General Hospital | Nurse Practitioner | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2016-08-19 |
| 1013382308 | Neshoba County General Hospital | Radiology | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2015-12-11 |
| 1144665670 | Neshoba County General Hospital | Family Medicine | 1003 Holland Ave, Suite 103, Philadelphia, MS 39350-2180 | 2013-05-10 |
| 1750686341 | Neshoba County General Hospital | Family Medicine | 1001 Holland Ave, Suite 4, Philadelphia, MS 39350-2161 | 2011-01-13 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| 1528295532 | Neshoba County General Hospital | Clinic/Center | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2009-06-17 |
| 1114057247 | Neshoba County General Hospital | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NESHOBA COUNTY GENERAL HOSPITAL | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Street Address |
1122 E MAIN ST SUITE 4 |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157829 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1122 E Main St, Philadelphia, MS 39350-2329 | 2006-01-06 |
| 1790173599 | Rachel Richardson | Nurse Practitioner | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2014-12-31 |
| 1164727269 | Tonia Holley | Nurse Practitioner | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2011-01-20 |
| 1801082409 | Heather Cannon | Family Medicine | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2007-09-18 |
| 1366541872 | Julia E Riley | Pediatrics | 1122 E Main St, Neshoba Pediatrics Suite 6, Philadelphia, MS 39350-2348 | 2006-09-21 |
| 1871522797 | Hilton M Fairchild | Family Medicine | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003834979 | Neshoba County General Hospital | Clinic/Center | 213 Hospital Rd W, Philadelphia, MS 39350-2211 | 2006-07-18 |
| 1215419114 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 517 Center Ave N, Philadelphia, MS 39350-2552 | 2018-09-06 |
| 1124535604 | Carthage Area Hospital Inc | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2018-01-05 |
| 1053750125 | Anderson Regional Medical Center | Clinic/Center | 1056 Holland Ave, Philadelphia, MS 39350-9121 | 2013-06-21 |
| 1528295532 | Neshoba County General Hospital | Clinic/Center | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2009-06-17 |
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|---|---|---|---|---|
| 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 | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
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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.