ALCORN REHAB SERVICES INC (NPI# 1467561670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467561670 |
| Entity Type | Organization |
| Organization Name | ALCORN REHAB SERVICES INC |
| Practice Address |
1708 E Shiloh Rd Corinth MS 38834-3635 |
| Practice Telephone | 6622844656 |
| Practice Fax Number | 6626650836 |
| Mailing Telephone | 6622844656 |
| Mailing Fax Number | 6626650836 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MICHAEL LEE STEWART (OWNER/PT) |
| Authorized Official Telephone | 6622844656 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5927860001 | MS | Suppliers |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BC/BS OF TN | 3149357 | 01 |
| MS | 00123001 | 05 |
| Street Address |
1708 E SHILOH RD |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760591937 | Michael Lee Stewart | Physical Therapist | 1708 E Shiloh Rd, Corinth, MS 38834-3635 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982624458 | Coppell Spine & Sports Rehab Limited Partnership | Clinic/Center | 3001 Fm 2181, Suite 150, Corinth, TX 76210 | 2006-07-20 |
| 1487911269 | Maximum Mobility Rehabilitation & Fitness Inc | Clinic/Center | 125 Pratt Dr, Corinth, MS 38834-6040 | 2012-04-18 |
| 1205061173 | Shiloh Ridge Athletic Club | Clinic/Center | 3303 Shiloh Ridge Rd, Corinth, MS 38834-9698 | 2009-05-21 |
| 1831282763 | Penobscot Community Health Center | Clinic/Center | 284 Main St, Corinth, ME 04427 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804283 | Rehab Ready, LLC | Clinic/Center | 2136 Stateline Rd W Ste B-c, Southaven, MS 38671-1210 | 2020-09-02 |
| 1609411354 | Enduracare Acute Care Services LLC | Clinic/Center | 351 Old Oak Cir, Pontotoc, MS 38863-5016 | 2019-11-16 |
| 1154880540 | Core Rehabilitation, LLC | Clinic/Center | 143c Willowbrook Dr, Saltillo, MS 38866-6896 | 2019-03-15 |
| 1952877060 | Encore Rehabilitation Inc | Clinic/Center | 5731 Highway 45 Alt S Ste 1277, West Point, MS 39773-0414 | 2018-10-16 |
| 1689150054 | 5 Star Performance Center, LLC | Clinic/Center | 4500 Lakeland Dr, Flowood, MS 39232-9583 | 2018-07-18 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1104330430 | Enduracare Acute Care Services LLC | Clinic/Center | 7381 S Siwell Rd Ste A, Byram, MS 39272-8741 | 2017-11-22 |
| 1972016848 | 2083 Therapy, LLC | Clinic/Center | 5080 Lakeland Dr., Suite B, Flowood, MS 39232-4403 | 2017-11-14 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 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.