CHOCTAW REGIONAL MEDICAL CENTER (NPI# 1285041582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285041582 |
| Entity Type | Organization |
| Organization Name | CHOCTAW REGIONAL MEDICAL CENTER |
| Other Organization Name | CHOCTAW REGIONAL MEDICAL CENTER SWINGBED |
| Practice Address |
8613 Ms Highway 12 Ackerman MS 39735-8917 |
| Mailing Address |
Po Box 719 Ackerman MS 39735-0719 |
| Practice Telephone | 6622854400 |
| Mailing Telephone | 6622854400 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | JAMIE RODGERS (ADMINISTRATOR) |
| Authorized Official Telephone | 6622854400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Choctaw Regional Medical Center Swingbed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538555347 | Choctaw Regional Medical Center | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2015-04-08 |
| 1225446578 | Choctaw Regional Medical Center | Personal Emergency Response Attendant | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-31 |
| 1609284959 | Choctaw Regional Medical Center | Medicare Defined Swing Bed Unit | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-31 |
| 1235547878 | Choctaw Regional Medical Center | Clinic/Center | 64 N Louisville St, Ackerman, MS 39735-9217 | 2014-07-28 |
| 1174931844 | Choctaw Regional Medical Center | Clinic/Center | 780 Main St, Weir, MS 39772-9058 | 2014-07-25 |
| 1003223306 | Choctaw Regional Medical Center | Clinic/Center | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| 1568879864 | Choctaw Regional Medical Center | Personal Emergency Response Attendant | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| 1518374875 | Choctaw Regional Medical Center | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2014-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHOCTAW REGIONAL MEDICAL CENTER | 8613 Ms Highway 12, Ackerman, MS 39735-8917 |
| Street Address |
8613 MS HIGHWAY 12 |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-8917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124017546 | Shunda Lynette Garner | Family Medicine | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2005-10-18 |
| 1154981470 | Megan Paige Hubbard | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2019-06-18 |
| 1275007510 | Kerri Jo Whittington | Registered Nurse | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2019-01-21 |
| 1760959027 | Brittany Dempsey Dickerson | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2018-10-25 |
| 1861967820 | Veronica Knowles | Social Worker | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2018-10-05 |
| 1548643380 | Rushaunda Nash | Nurse Practitioner | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2015-06-29 |
| 1225446578 | Choctaw Regional Medical Center | Personal Emergency Response Attendant | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-31 |
| 1609284959 | Choctaw Regional Medical Center | Medicare Defined Swing Bed Unit | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-31 |
| 1376950675 | Choctaw County | Skilled Nursing Facility | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| 1003223306 | Choctaw Regional Medical Center | Clinic/Center | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284959 | Choctaw Regional Medical Center | Medicare Defined Swing Bed Unit | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-31 |
| 1275815003 | Pioneer Health Services of Choctaw County, LLC | Medicare Defined Swing Bed Unit | 311 West Cherry Street, Ackerman, MS 39735-8708 | 2011-09-19 |
| 1043591027 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-02 |
| 1821303231 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
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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.