KILMICHAEL HOSPITAL (NPI# 1487863692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487863692 |
| Entity Type | Organization |
| Organization Name | KILMICHAEL HOSPITAL |
| Other Organization Name | KILMICHAEL HOSPITAL SWINGBED |
| Practice Address |
301 Lamar Ave Kilmichael MS 39747 |
| Mailing Address |
Po Box 188 Kilmichael MS 39747-0188 |
| Practice Telephone | 6622624311 |
| Practice Fax Number | 6622625586 |
| Mailing Telephone | 6622624311 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CALVIN DEXTER JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6622624311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 21-183 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00029147 | 05 |
| Other Name | Type Code |
|---|---|
| Kilmichael Hospital Swingbed | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518176445 | Kilmichael Hospital | Family Medicine | 301 Lamar Ave., Kilmichael, MS 39747-0188 | 2007-05-21 |
| 1144204561 | Kilmichael Hospital | General Acute Care Hospital | 301 Lamar Avenue, Kilmichael, MS 39747-0188 | 2005-11-30 |
| Street Address |
301 LAMAR AVE |
| City | KILMICHAEL |
| State | MS |
| Zip Code | 39747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382060 | Webster Health Services, Inc. | Clinic/Center | 301 Lamar Street, Kilmichael, MS 39747 | 2015-07-29 |
| 1144362054 | Kilmichael Clinic | Clinic/Center | 303 Lamar Avenue, Kilmichael, MS 39747 | 2007-02-14 |
| 1124088299 | Greenwood Leflore Hospital | Clinic/Center | 400 Lamar Ave, Kilmichael, MS 39747 | 2006-03-24 |
| 1114445764 | Leslie B Pearson | Nurse Practitioner | 400 Lamar Ave, Kilmichael, MS 39747 | 2017-09-05 |
| 1518176445 | Kilmichael Hospital | Family Medicine | 301 Lamar Ave., Kilmichael, MS 39747-0188 | 2007-05-21 |
| 1144204561 | Kilmichael Hospital | General Acute Care Hospital | 301 Lamar Avenue, Kilmichael, MS 39747-0188 | 2005-11-30 |
| 1790216091 | Lajoyce Stewart | Nurse Practitioner | 301 Lamar St, Kilmichael, MS 39747-9002 | 2017-03-27 |
| 1942258322 | Cherryl M Avent | Emergency Medicine | 303 Lamar St, Kilmichael, MS 39747-9002 | 2006-05-05 |
| 1942724349 | Wade Henson | Nurse Practitioner | 301 Lamar St, Kilmichael, MS 39747-9002 | 2017-07-28 |
| 1932609674 | Rachel Montgomery | Occupational Therapy Assistant | 5 Vaiden Kilmichael Rd, Kilmichael, MS 39747-9518 | 2018-02-20 |
| Find all providers in zip 39747 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1740833391 | Guardian Angel Healthcare II, Inc. | Medicare Defined Swing Bed Unit | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | KILMICHAEL |
| Zip Code | 39747 |
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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.