BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC (NPI# 1356339576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356339576 |
| Entity Type | Organization |
| Organization Name | BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC |
| Other Organization Name | CHOCTAW COUNTY MEDICAL CENTER |
| Practice Address |
311 West Cherry Street Ackerman MS 39735 |
| Mailing Address |
Po Box 1039 Ackerman MS 39735-1039 |
| Practice Telephone | 6622856235 |
| Practice Fax Number | 6622852516 |
| Mailing Telephone | 6622856235 |
| Mailing Fax Number | 6622852516 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | RAY SHOEMAKER (CEO) |
| Authorized Official Telephone | 6623211155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
16191 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02032374 | 05 |
| Other Name | Type Code |
|---|---|
| Choctaw County Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598928939 | Brandywine Health Services of Mississippi, Inc | Clinic/Center | 24224 Ms Highway 15, Mathiston, MS 39752-6876 | 2008-07-07 |
| 1982659405 | Brandywine Health Services of Mississippi, Inc | Clinic/Center | 547 Front St., Weir, MS 39772 | 2006-05-23 |
| 1477541431 | Brandywine Health Services of Mississippi, Inc | Clinic/Center | 311 E Cherry St, Ackerman, MS 39735-9795 | 2005-10-12 |
| 1043331853 | Brandywine Health Services of Mississippi, Inc | Emergency Medicine | 311 West Cherry Street, Ackerman, MS 39735 | 2007-04-02 |
| 1134272693 | Brandywine Health Services of Mississippi, Inc | Psychiatric Unit | 311 E Cherry St, Ackerman, MS 39735-9795 | 2007-01-19 |
| 1104814169 | Brandywine Health Services of Mississippi, Inc | General Acute Care Hospital | 311 E Cherry St, Ackerman, MS 39735-9795 | 2005-10-12 |
| Street Address |
311 WEST CHERRY STREET |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366724197 | Pioneer Health Services of Choctaw County, LLC | General Acute Care Hospital | 311 West Cherry Street, Ackerman, MS 39735-8708 | 2011-09-19 |
| 1275815003 | Pioneer Health Services of Choctaw County, LLC | Medicare Defined Swing Bed Unit | 311 West Cherry Street, Ackerman, MS 39735-8708 | 2011-09-19 |
| 1043331853 | Brandywine Health Services of Mississippi, Inc | Emergency Medicine | 311 West Cherry Street, Ackerman, MS 39735 | 2007-04-02 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366724197 | Pioneer Health Services of Choctaw County, LLC | General Acute Care Hospital | 311 West Cherry Street, Ackerman, MS 39735-8708 | 2011-09-19 |
| 1639468846 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-03-29 |
| 1104814169 | Brandywine Health Services of Mississippi, Inc | General Acute Care Hospital | 311 E Cherry St, Ackerman, MS 39735-9795 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.