TISHOMINGO HEALTH SERVICES, INC. (NPI# 1558472803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558472803 |
| Entity Type | Organization |
| Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
| Other Organization Name | TISHOMINGO HEALTH SWING BED |
| Practice Address |
1777 Curtis Dr Iuka MS 38852 |
| Practice Telephone | 6624234074 |
| Practice Fax Number | 6624234550 |
| Mailing Telephone | 6624234074 |
| Mailing Fax Number | 6624234550 |
| Enumeration Date | 2006-08-31 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 13-221 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0029393 | 05 |
| Other Name | Type Code |
|---|---|
| Tishomingo Health Swing Bed | 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 |
| 1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
| 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 |
| 1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
| 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 | 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 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 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 |
| 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.