SPRINGHILL MEDICAL SERVICES, INC. (NPI# 1588696371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588696371 |
Entity Type | Organization |
Organization Name | SPRINGHILL MEDICAL SERVICES, INC. |
Other Organization Name | HOMER MEDICAL CLINIC |
Practice Address |
104 Morris Circle Homer LA 71040-2109 |
Mailing Address |
2001 Doctors Drive Springhill LA 71075-4526 |
Practice Telephone | 3189271110 |
Practice Fax Number | 3189271116 |
Mailing Telephone | 3185391000 |
Mailing Fax Number | 3185394085 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-06-02 |
Authorized Official Name | MICHAEL G PATRONIS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3185391001 |
Is Organization Subpart | Y |
Parent Organization Name | SPRINGHILL MEDICAL SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2493574 | 05 | |
MEDICARE | 198507 | 01 |
Other Name | Type Code |
---|---|
Homer Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518464775 | Springhill Medical Services, Inc. | Clinic/Center | 900 Frances Dr, Haynesville, LA 71038-6100 | 2018-04-12 |
1699191999 | Springhill Medical Services, Inc. | Clinic/Center | 369 Muddy Bottoms Drive, Sarepta, LA 71071 | 2014-03-11 |
1407960271 | Springhill Medical Services, Inc. | Clinic/Center | 409 Woodruff St, Bradley, AR 71826-8715 | 2006-08-18 |
1932173564 | Springhill Medical Services, Inc. | Family Medicine | 106 Tri-state Drive, Sarepta, LA 71071-2826 | 2006-02-13 |
1275506115 | Springhill Medical Services, Inc. | General Acute Care Hospital | 2001 Doctors Dr, Springhill, LA 71075-4526 | 2006-02-10 |
1871507616 | Springhill Medical Services, Inc. | Clinic/Center | 401 11th St Ne, Springhill, LA 71075-4503 | 2006-07-28 |
1124092481 | Springhill Medical Services, Inc. | Internal Medicine | 2001 Doctors Dr, Springhill, LA 71075-4526 | 2006-02-14 |
1972577575 | Springhill Medical Services, Inc. | Psychiatric Unit | 2001 Doctors Dr, Springhill, LA 71075-4526 | 2006-02-13 |
1144294745 | Springhill Medical Services, Inc. | Medicare Defined Swing Bed Unit | 2001 Doctors Dr, Springhill, LA 71075-4526 | 2006-02-13 |
Street Address |
104 MORRIS CIRCLE |
City | HOMER |
State | LA |
Zip Code | 71040-2109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
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Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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.