TISHOMINGO HEALTH SERVICES, INC. (NPI# 1548376700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548376700 |
Entity Type | Organization |
Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
Other Organization Name | TISHOMINGO CO HOSPITAL |
Practice Address |
1777 Curtis Dr Iuka MS 38852 |
Practice Telephone | 6624234074 |
Practice Fax Number | 6624234550 |
Mailing Telephone | 6624234074 |
Mailing Fax Number | 6624234550 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2011-11-11 |
Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
Authorized Official Telephone | 6623773978 |
Is Organization Subpart | Y |
Parent Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 13-221 | MS | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS | 010-075 | 01 |
MS | 0020393 | 05 | |
TN | BLUE CROSS | 104781 | 01 |
TN | 00000121917 | 05 | |
MS | BLUE CROSS | 000020169 | 01 |
AL | HOS0002P | 05 |
Other Name | Type Code |
---|---|
Tishomingo Co Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770938979 | Tishomingo Health Services, Inc. | Clinic/Center | 367 Highway 72, Burnsville, MS 38833-9320 | 2016-04-26 |
1295105922 | Tishomingo Health Services, Inc. | Clinic/Center | 26 3rd St, Belmont, MS 38827-7737 | 2015-10-07 |
1013028356 | Tishomingo Health Services, Inc. | Clinic/Center | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
Street Address |
1777 CURTIS DR |
City | IUKA |
State | MS |
Zip Code | 38852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912933409 | Mohamed Z Knefati | Neuromusculoskeletal Medicine & OMM | 1777 Curtis Dr, Iuka, MS 38852-1001 | 2006-06-25 |
1013028356 | Tishomingo Health Services, Inc. | Clinic/Center | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
Find all providers in zip 38852 |
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 |
---|---|---|---|---|
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 |
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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.