BOLIVAR PATHOLOGY SERVICES (NPI# 1306916937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306916937 |
| Entity Type | Organization |
| Organization Name | BOLIVAR PATHOLOGY SERVICES |
| Practice Address |
901 E Sunflower Rd 901 Hwy 8 East Cleveland MS 38732-2833 |
| Mailing Address |
Po Box 98535 Raleigh NC 27624-8535 |
| Practice Telephone | 6628465689 |
| Practice Fax Number | 6628462244 |
| Mailing Telephone | 9194207811 |
| Mailing Fax Number | 9194207815 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | MARIA G SPARACINO (PATHOLOGIST) |
| Authorized Official Telephone | 6015732307 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 16044 | MS | Laboratories |
| Y | 171W00000X | Contractor | 16044 | MS | Other Service Providers |
| Street Address |
901 E SUNFLOWER RD 901 HWY 8 EAST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032665 | Jack Bittell Sewell | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2005-09-01 |
| 1356733265 | G & G Health Services, LLC | Specialist | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2015-03-02 |
| 1962822692 | Catherine Tanner Petzinger | Surgery | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2014-04-21 |
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1952537938 | Nouveau Anesthesia Medical Group | Anesthesiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2009-06-04 |
| 1396996997 | Acs Emergency Services of Mississippi Professional Association | Physician Assistant | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-10-02 |
| 1891968327 | Edward Kofi Lartevi Md Pmc | Emergency Medicine | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-04-04 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717717 | Lashawn Mccreary | Contractor | 1469 E 172nd St, Cleveland, OH 44110-2926 | 2020-07-17 |
| 1023640091 | Giavanna White | Contractor | 4473 Lee Heights Blvd, Cleveland, OH 44128-3505 | 2020-02-07 |
| 1679035265 | Latitia Hardaway | Contractor | 4673 E 173rd St, Cleveland, OH 44128-3903 | 2019-04-02 |
| 1720575848 | Justine E Johnson | Contractor | 18920 Newton Ave, Cleveland, OH 44119-1125 | 2018-04-13 |
| 1134643968 | Human Arc Corporation | Contractor | 1457 E 40th St, Cleveland, OH 44103-1103 | 2017-08-02 |
| 1750804183 | Darleathie Maria Smith | Contractor | 18714 Kildeer Ave, Cleveland, OH 44119-2755 | 2017-07-18 |
| 1003353731 | Isaac Crawford Jr. | Contractor | 1475 E 71st St, Cleveland, OH 44103-2773 | 2017-01-19 |
| 1629512942 | Tameika Stewart | Contractor | 10557 Remington Ave, Cleveland, OH 44108-1320 | 2016-12-05 |
| 1306380738 | Jenice Collins | Contractor | 423 Eddy Rd, Cleveland, OH 44108-1754 | 2016-12-04 |
| 1841743309 | Marisa Rivera-rodriguez | Contractor | 3535 Keith St Nw Ste 3, Cleveland, TN 37312-4360 | 2016-08-01 |
| Find all providers in CLEVELAND | ||||
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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.