MISSISSIPPI COLLEGE (NPI# 1528340783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528340783 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI COLLEGE |
| Practice Address |
200 Capitol St Clinton MS 39056-4026 |
| Mailing Address |
Po Box 819020 Dallas TX 75381-9020 |
| Practice Telephone | 6019253345 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | MATT VERRET (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 6019253345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSISSIPPI COLLEGE OF BEAUTY CULTURE | 732 Sawmill Rd, Laurel, MS 39440-0000 |
| Street Address |
200 CAPITOL ST |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649793019 | William Bradley Aderholt | Specialist/Technologist | 200 Capitol St, Clinton, MS 39056-4026 | 2017-07-18 |
| 1245753698 | Caitlin E Brown | Specialist/Technologist | 200 Capitol St, Clinton, MS 39056-4026 | 2017-07-18 |
| 1366965733 | Jacob Hardy | Specialist/Technologist | 200 Capitol St, Clinton, MS 39056-4026 | 2017-07-18 |
| 1457703746 | Matthew Verret | Specialist/Technologist | 200 Capitol St, Clinton, MS 39056-4026 | 2016-07-11 |
| 1437547353 | Alicia Thornburg | Specialist/Technologist | 200 Capitol St, Clinton, MS 39056-4026 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460458 | East Feliciana Parish School Board | Clinic/Center | 12732 Silliman Street, Clinton, LA 70722-0397 | 2007-04-30 |
| 1881814358 | East Feliciana Parish School Board | Clinic/Center | 12732 Silliman St., Clinton, LA 70722-0397 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962798439 | University of Mississippi | Clinic/Center | 1848 University Circle, Athletic Department, Oxford, MS 38677 | 2011-06-23 |
| 1821389289 | Lumberton Public School District | Clinic/Center | 107 E 10th Ave, Lumberton, MS 39455-2513 | 2011-04-20 |
| 1699083618 | Choctaw County School District | Clinic/Center | 8475 Ms Highway 15, Ackerman, MS 39735-8825 | 2010-09-24 |
| 1962724955 | Coahoma County | Clinic/Center | 350 South Street, Friarspoint, MS 38631 | 2010-02-18 |
| 1881839801 | Grenada School District | Clinic/Center | 28 Jones Rd, Grenada, MS 38901-5248 | 2008-12-04 |
| 1942472899 | Jackson Public Schools | Clinic/Center | 618 S President St, Jackson, MS 39201-5601 | 2008-04-01 |
| 1922297795 | Lumberton Elementary School | Clinic/Center | 7922 Us-11, Lumberton, MS 39455 | 2007-10-17 |
| 1174734099 | Alexander Jr. High School | Clinic/Center | Alexander Jr High School, 713 Beauregard St., Brookhaven, MS 39601 | 2007-05-24 |
| 1881628741 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 260 Highway 18, Utica, MS 39175 | 2006-07-10 |
| 1760414494 | Central Mississippi Civic Improvement Association | Clinic/Center | 9700 I-20 W. Frontage Road, Jackson, MS 39041 | 2006-07-06 |
| 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.