AMITE COUNTY MEDICAL SERVICES, INC. (NPI# 1609242056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609242056 |
| Entity Type | Organization |
| Organization Name | AMITE COUNTY MEDICAL SERVICES, INC. |
| Other Organization Name | PIKE COUNTY MEDICAL SERVICES |
| Practice Address |
300 Rawls Drive Suite 1300 Mccomb MS 39648 |
| Practice Telephone | 6012493541 |
| Practice Fax Number | 6012493544 |
| Mailing Telephone | 6012493541 |
| Mailing Fax Number | 6012493544 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | MRS. PAM T. POOLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6016574326 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMITE COUNTY MEDICAL SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pike County Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700108578 | Amite County Medical Services, Inc. | Clinic/Center | 253 East Main Street, Gloster, MS 39638 | 2010-02-22 |
| 1659693083 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645 | 2010-02-26 |
| 1073634226 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2007-04-03 |
| Street Address |
300 RAWLS DRIVE SUITE 1300 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551079 | E J Price Jr. | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| 1124411004 | Sunja Tate | Nurse Practitioner | 300 Rawls Drive, Suite 100, Mccomb, MS 39649-2877 | 2015-03-16 |
| 1174632889 | Southwest Clinic for Women Pllc | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| 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.