TRI LAKES MEDICAL CENTER (NPI# 1366533093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366533093 |
| Entity Type | Organization |
| Organization Name | TRI LAKES MEDICAL CENTER |
| Other Organization Name | BATESVILLE SPECIALITY |
| Practice Address |
303 Medical Center Dr Batesville MS 38606-8608 |
| Practice Telephone | 6625635611 |
| Practice Fax Number | 6625630155 |
| Mailing Telephone | 6625635611 |
| Mailing Fax Number | 6625630155 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAYMOND L SHOEMAKER (CEO) |
| Authorized Official Telephone | 6625635611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 22-342 | MS | Hospitals |
| Other Name | Type Code |
|---|---|
| BATESVILLE SPECIALITY | Doing Business As Name - Organization |
| Street Address |
303 MEDICAL CENTER DR |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259245 | Donald Hudson Parnell Jr. | Surgery | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2005-10-17 |
| 1821608134 | Progressive Pharmacy LLC | Pharmacy | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2020-08-03 |
| 1427694231 | Timmy Lee Mccoy Sr. | Nurse Practitioner | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2019-11-27 |
| 1336793751 | Jessica Marie Mann | Nurse Practitioner | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2019-07-25 |
| 1104478932 | Benjamin Newell Windham | Family Medicine | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2019-07-11 |
| 1366905028 | Progressive Medical Management of Batesville LLC | Clinic/Center | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2019-04-10 |
| 1053873307 | Progressive Medical Management of Batesville LLC | General Acute Care Hospital | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2019-04-04 |
| 1609369586 | Victoria Havens Wilbanks | Nurse Practitioner | 303 Medical Center Dr, Batesville, MS 38606 | 2018-06-14 |
| 1215452826 | Kristina Lynn Hintzsche | Nurse Anesthetist, Certified Registered | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-08-04 |
| 1457885105 | Hcc of Batesville, LLC | Internal Medicine | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851730121 | Sonny Montgomer Vamc | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-20 |
| 1952744336 | V.a. Medical Center | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-16 |
| 1740623768 | Department of Veterans Affairs | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-09 |
| 1902060825 | Veterans Healthcare Administration | Special Hospital | 400 Veterans Ave, 11ecp Hbpc, Biloxi, MS 39531-2410 | 2008-07-10 |
| 1447465067 | Univ Prev Med Assocs Pllc | Special Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-14 |
| 1023104106 | Harvey William Marcellus | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-10-05 |
| 1255364477 | Gulf Coast Vamc | Special Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-09 |
| City | BATESVILLE |
| Zip Code | 38606 |
Please comment or provide details below to improve the information on TRI LAKES 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.