STONE COUNTY HOSPITAL, INC. (NPI# 1386654309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386654309 |
| Entity Type | Organization |
| Organization Name | STONE COUNTY HOSPITAL, INC. |
| Practice Address |
1434 Central Ave E P O Drawer 97 Wiggins MS 39577-9602 |
| Practice Telephone | 6019286600 |
| Practice Fax Number | 6019286658 |
| Mailing Telephone | 6019286600 |
| Mailing Fax Number | 6019286658 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | MRS. TAMMY HARRELL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6019285004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
12280 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220714 | 05 | |
| MS | BLUE CROSS | 00020707 | 01 |
| MS | 02550263 | 05 | |
| MS | 09015938 | 05 | |
| MS | 09278803 | 05 | |
| MS | BLUE CROSS | 00019707 | 01 |
| MS | BLUE CROSS | 00019707A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
| 1861650483 | Stone County Hospital, Inc. | Clinic/Center | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2008-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STONE COUNTY HOSPITAL, INC. | 1434 E Central Ave, Wiggins, MS 39577-9602 |
| Street Address |
1434 CENTRAL AVE E P O DRAWER 97 |
| City | WIGGINS |
| State | MS |
| Zip Code | 39577-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687060 | Autrionne D Monroe | Speech-Language Pathologist | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2020-04-06 |
| 1134779200 | Memorial Hospital At Gulfport | Ambulance | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2019-09-19 |
| 1548817117 | Memorial Hospital At Gulfport | General Acute Care Hospital | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2019-08-19 |
| 1114481488 | Hannah Leigh Fore | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2019-01-30 |
| 1386125383 | Kendra Iesha Samuel | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2018-08-27 |
| 1891223186 | Christine L Ladner | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577 | 2017-05-31 |
| 1013452473 | Evelyn Perreault Rutledge | Social Worker | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2016-12-21 |
| 1225488281 | La'toria Evans | Physical Therapy Assistant | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2016-06-20 |
| 1437413770 | Joshua Carmi Alderman IIi | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2012-07-02 |
| 1033340690 | James Jason Rogers | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2009-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1235468190 | Stone County School District | Local Education Agency (LEA) | 214 Critz Street, Wiggins, MS 39577 | 2009-12-23 |
| 1043452493 | Stone County Hospital, Inc | General Acute Care Hospital | 1434 E Central Ave., Wiggins, MS 39577 | 2009-04-01 |
| 1245274414 | James Walter Holmes | Family Medicine | 975 Hall Street, Wiggins, MS 39577 | 2006-06-16 |
| 1790962637 | The Vision Center Pa | Optometrist | 1113 Central Ave E, Wiggins, MS 39577 | 2008-01-23 |
| 1821009465 | County Discount Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 820 Hall St, Wiggins, MS 39577-2100 | 2006-08-10 |
| 1154430940 | Batson Physical Therapy, Inc. | Clinic/Center | 711 Hall St, Wiggins, MS 39577-2105 | 2006-08-29 |
| 1033723937 | Katherine B Tyree | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2020-09-08 |
| 1114569340 | Johelen K Trisler | Physical Therapy Assistant | 711 Hall St, Wiggins, MS 39577-2105 | 2019-10-09 |
| 1720502586 | Sheila S Carney | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2017-08-02 |
| Find all providers in zip 39577 | ||||
| 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 |
|---|---|---|---|---|
| 1588813216 | Stone County Hospital, Inc | General Acute Care Hospital | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2008-09-18 |
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|---|---|---|---|---|
| 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 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 1114951324 | Patients Choice Medical Center of Humphreys County, LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2006-07-11 |
| 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.