CHOCTAW COUNTY (NPI# 1295058659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295058659 |
| Entity Type | Organization |
| Organization Name | CHOCTAW COUNTY |
| Other Organization Name | CHOCTAW COUNTY NURSING CENTER |
| Practice Address |
311 W Cherry St Ackerman MS 39735-8708 |
| Mailing Address |
Po Box 250 Ackerman MS 39735-0250 |
| Practice Telephone | 6622856235 |
| Practice Fax Number | 6622852725 |
| Mailing Telephone | 6622856329 |
| Mailing Fax Number | 6622853444 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | MR. STEVE MONTGOMERY (CHANCERY CLERK) |
| Authorized Official Telephone | 6622856329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MS | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Choctaw County Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326350240 | Choctaw County | Clinic/Center | 119 West Cherry Street, Ackerman, MS 39735-0000 | 2010-07-08 |
| 1376663906 | Choctaw County | Local Education Agency (LEA) | 107 Tom Orr Dr, Butler, AL 36904-3504 | 2007-03-29 |
| 1376950675 | Choctaw County | Skilled Nursing Facility | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| 1043591027 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-02 |
| 1639468846 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-03-29 |
| 1063711349 | Choctaw County | Clinic/Center | 780 Main Street, Weir, MS 39772-0000 | 2011-03-25 |
| 1821303231 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-10 |
| 1457666083 | Choctaw County | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-06 |
| 1427360338 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHOCTAW COUNTY 911 | 123 S Hamburg Ave, Butler, AL 36904-2511 |
| System for Award Management (SAM) Entities | CHOCTAW COUNTY BOARD OF SUPERVISORS | 22 Quinn St, Ackerman, MS 39735-9250 |
| Oklahoma Business Registrations | CHOCTAW COUNTY EMS LLC | 2578 Us Hwy. 70 By-pass, Hugo, OK 74743 |
| Alabama Business Registrations | Choctaw County Farm, L.L.P. | 57 Adams Ave, Montgomery, AL 36104 |
| Alabama Business Registrations | Choctaw County Outreach Ministry, Inc. | 10810 County Road 32, Lisman, AL 36912 |
| Street Address |
311 W CHERRY ST |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518374875 | Choctaw Regional Medical Center | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2014-07-18 |
| 1285900399 | Pioneer Health Services of Choctaw County, LLC | Psychiatric Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2012-03-23 |
| 1891062170 | Pioneer Health Services of Choctaw County, LLC | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-11-30 |
| 1508147216 | Pioneer Health Services of Choctaw County, LLC | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-08 |
| 1043591027 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-02 |
| 1639468846 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-03-29 |
| 1821303231 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-10 |
| 1457666083 | Choctaw County | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-06 |
| 1427360338 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-07-08 |
| 1649595349 | Choctaw County Nursing Center | Nursing Facility/Intermediate Care Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-04-06 |
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| 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 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376950675 | Choctaw County | Skilled Nursing Facility | 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 |
| 1891062170 | Pioneer Health Services of Choctaw County, LLC | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-11-30 |
| 1033107032 | Brandywine Health Services of Ms Inc | Skilled Nursing Facility | 311 E Cherry St, Ackerman, MS 39735-9795 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
| 1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
| 1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
| 1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
| 1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
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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.