DIAMOND GROVE CENTER (NPI# 1447350160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447350160 |
| Entity Type | Organization |
| Organization Name | DIAMOND GROVE CENTER |
| Practice Address |
2311 Highway 15 S Louisville MS 39339-7071 |
| Practice Telephone | 6627790119 |
| Practice Fax Number | 6627790126 |
| Mailing Telephone | 6627790119 |
| Mailing Fax Number | 6627790126 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 32-325 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS PROVIDER# | 000020847 | 01 |
| MS | 00220411 | 05 | |
| MS | 00220801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
| 1659404572 | Diamond Grove Center | Psychiatric Residential Treatment Facility | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| Street Address |
2311 HIGHWAY 15 S |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-7071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
| 1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
| 1659404572 | Diamond Grove Center | Psychiatric Residential Treatment Facility | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 1801967674 | Kenneth E Peres | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
| 1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
| 1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
| 1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
| 1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
| 1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
| Find all providers in zip 39339 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
| 1366447609 | Central State Hospital | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2005-06-14 |
| 1275953754 | Tbd Acquisition, LLC | Psychiatric Hospital | 1405 Browns Ln, Louisville, KY 40207-4608 | 2014-04-23 |
| 1760623888 | Uhs of Centennial Peaks LLC | Psychiatric Hospital | 2255 S 88th St, Louisville, CO 80027-9716 | 2009-03-19 |
| 1417167131 | Caritas Peace Center | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-23 |
| 1124237375 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-22 |
| 1407972615 | Flatirons Behavioral Health | Psychiatric Hospital | 2255 S 88th St, Louisville, CO 80027-9716 | 2007-03-21 |
| 1265530034 | Central State Hospital Pharmacy | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2006-09-20 |
| 1588601991 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Hospital | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160782 | Chandra Sumlin-brown Dba Sumlin Behavioral Services | Psychiatric Hospital | 8237b Okatibbee Dam Road, Collinsville, MS 39325 | 2016-09-01 |
| 1588052096 | Charles Harris Phd Pllc | Psychiatric Hospital | 1217 Nelson Dr, Ocean Springs, MS 39564-3032 | 2015-01-06 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1598943631 | Ms State Hospital Crisis Intervention Center-brookhaven | Psychiatric Hospital | 725 Brookman Dr Ext, Brookhaven, MS 39601-2311 | 2008-01-31 |
| 1568671337 | Three Oaks Behavioral Health of Ridgeland, LLC | Psychiatric Hospital | 408 Fontaine Place, Suite 101, Ridgeland, MS 39157 | 2007-05-21 |
| 1265486492 | Harrison Hma, Inc. | Psychiatric Hospital | 180a Debuys Rd, Biloxi, MS 39531-4402 | 2006-05-20 |
| 1093785859 | Uhs of Parkwood Inc | Psychiatric Hospital | 8135 Goodman Rd, Olive Branch, MS 38654-2103 | 2006-01-25 |
| 1487638441 | Brentwood Acquisition Inc | Psychiatric Hospital | 3531 Lakeland Dr, Flowood, MS 39232-8016 | 2005-12-02 |
| 1063989010 | Oceans Behavioral Hospital of Biloxi LLC | Psychiatric Hospital | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2018-10-29 |
| 1750891792 | Tbd Acquisition II LLC | Psychiatric Hospital | 11150 Highway 49, Gulfport, MS 39503-4110 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 39339 |
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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.