KING'S DAUGHTERS MEDICAL CENTER (NPI# 1528298395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528298395 |
| Entity Type | Organization |
| Organization Name | KING'S DAUGHTERS MEDICAL CENTER |
| Practice Address |
427 Highway 51 N Brookhaven MS 39601-2350 |
| Practice Telephone | 6018336011 |
| Practice Fax Number | 6018338742 |
| Mailing Telephone | 6018336011 |
| Mailing Fax Number | 6018338742 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | ALVIN HOOVER (CHIEF EXCEUTIVE OFFICER) |
| Authorized Official Telephone | 6018336011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 16235 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07485851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1912038811 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| 1366573263 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| 1275664179 | King's Daughters Medical Center | Ambulance | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KING'S DAUGHTERS MEDICAL CENTER | 427 Highway 51 N, Brookhaven, MS 39601-2350 |
| Street Address |
427 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1427698885 | Linda Hughes | Specialist/Technologist, Other | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1922653849 | Tonya M Rushing | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-08-07 |
| 1083271407 | Monica Graves Eubanks | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-05-21 |
| 1225516354 | Whitehead Wound Care Pllc | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2018-07-31 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1033549076 | Amy Katheryn Case | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-11-12 |
| 1639501380 | Tyler Thompson | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1730210634 | King's Daughters Medial Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| 1912038811 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| 1366573263 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on KING'S DAUGHTERS 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.