KING'S DAUGHTERS MEDICAL CENTER (NPI# 1275664179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275664179 |
| Entity Type | Organization |
| Organization Name | KING'S DAUGHTERS MEDICAL CENTER |
| Practice Address |
427 Highway 51 N Brookhaven MS 39601-2350 |
| Mailing Address |
Po Box 5440 Brookhaven MS 39603-5440 |
| Practice Telephone | 6018336011 |
| Practice Fax Number | 6018338742 |
| Mailing Telephone | 6018336011 |
| Mailing Fax Number | 6018338742 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | RANDY B. PIRTLE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6018336011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00050215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1528298395 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2009-07-15 |
| 1912038811 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| 1366573263 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KING'S DAUGHTERS MEDICAL CENTER | 427 Highway 51 N, Brookhaven, MS 39601-2350 |
| Street Address |
427 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1427698885 | Linda Hughes | Specialist/Technologist, Other | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1922653849 | Tonya M Rushing | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-08-07 |
| 1083271407 | Monica Graves Eubanks | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-05-21 |
| 1225516354 | Whitehead Wound Care Pllc | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2018-07-31 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1033549076 | Amy Katheryn Case | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-11-12 |
| 1639501380 | Tyler Thompson | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992289573 | A & G Transit Services LLC | Ambulance | 20371 Citation, Gulfport, MS 39503-5582 | 2018-09-20 |
| 1528596814 | Lifeguard Ambulance Service LLC | Ambulance | 543 Highway 6 W, Batesville, MS 38606-9519 | 2017-05-31 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1760831630 | Lifeguard Ambulance Service LLC | Ambulance | 630 Purvis Oloh Rd, Purvis, MS 39475-4284 | 2016-06-10 |
| 1295108306 | American Medical Response of Tennessee, Inc. | Ambulance | 1986 Goodman Rd W, Horn Lake, MS 38637-1415 | 2015-11-11 |
| 1841688371 | Jose Oakley | Ambulance | 224a Motor Scooter Dr, Nesbit, MS 38651-9229 | 2015-01-06 |
| 1760764260 | Mississippi Ambulance Service | Ambulance | 11545 Old Highway 49, Gulfport, MS 39503-2654 | 2011-09-12 |
| 1215113956 | Desoto County Office of Board of Supervisors | Ambulance | 6085 Highway 161, Walls, MS 38680-9793 | 2008-01-11 |
| 1639231822 | Transcare Transportation Inc | Ambulance | 210 Alcorn Dr, Corinth, MS 38834-9701 | 2006-12-14 |
| 1447340575 | Paratech Ems, Inc. | Ambulance | 111 East Church St, Quitman, MS 39355-0001 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on KING'S DAUGHTERS MEDICAL CENTER.
| 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.