CHOCTAW COUNTY (NPI# 1639468846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639468846 |
| Entity Type | Organization |
| Organization Name | CHOCTAW COUNTY |
| Other Organization Name | CHOCTAW COUNTY HOSPITAL |
| Practice Address |
311 W Cherry St Ackerman MS 39735-8708 |
| Practice Telephone | 6622856235 |
| Mailing Telephone | 6622856235 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | JOSEPH S MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11-191 | MS | Hospitals |
| Other Name | Type Code |
|---|---|
| Choctaw County Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326350240 | Choctaw County | Clinic/Center | 119 West Cherry Street, Ackerman, MS 39735-0000 | 2010-07-08 |
| 1295058659 | Choctaw County | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-03-12 |
| 1376663906 | Choctaw County | Local Education Agency (LEA) | 107 Tom Orr Dr, Butler, AL 36904-3504 | 2007-03-29 |
| 1376950675 | Choctaw County | Skilled Nursing Facility | 8613 Ms Highway 12, Ackerman, MS 39735-8917 | 2014-07-18 |
| 1043591027 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-02 |
| 1063711349 | Choctaw County | Clinic/Center | 780 Main Street, Weir, MS 39772-0000 | 2011-03-25 |
| 1821303231 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-10 |
| 1457666083 | Choctaw County | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-06 |
| 1427360338 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHOCTAW COUNTY 911 | 123 S Hamburg Ave, Butler, AL 36904-2511 |
| System for Award Management (SAM) Entities | CHOCTAW COUNTY BOARD OF SUPERVISORS | 22 Quinn St, Ackerman, MS 39735-9250 |
| Oklahoma Business Registrations | CHOCTAW COUNTY EMS LLC | 2578 Us Hwy. 70 By-pass, Hugo, OK 74743 |
| Alabama Business Registrations | Choctaw County Farm, L.L.P. | 57 Adams Ave, Montgomery, AL 36104 |
| Alabama Business Registrations | Choctaw County Outreach Ministry, Inc. | 10810 County Road 32, Lisman, AL 36912 |
| Street Address |
311 W CHERRY ST |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295058659 | Choctaw County | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-03-12 |
| 1518374875 | Choctaw Regional Medical Center | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2014-07-18 |
| 1285900399 | Pioneer Health Services of Choctaw County, LLC | Psychiatric Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2012-03-23 |
| 1891062170 | Pioneer Health Services of Choctaw County, LLC | Skilled Nursing Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-11-30 |
| 1508147216 | Pioneer Health Services of Choctaw County, LLC | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-08 |
| 1043591027 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2011-09-02 |
| 1821303231 | Choctaw County | Medicare Defined Swing Bed Unit | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-10 |
| 1457666083 | Choctaw County | Clinic/Center | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-08-06 |
| 1427360338 | Choctaw County | General Acute Care Hospital | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-07-08 |
| 1649595349 | Choctaw County Nursing Center | Nursing Facility/Intermediate Care Facility | 311 W Cherry St, Ackerman, MS 39735-8708 | 2010-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339576 | Brandywine Health Services of Mississippi, Inc | General Acute Care Hospital | 311 West Cherry Street, Ackerman, MS 39735 | 2005-10-11 |
| 1366724197 | Pioneer Health Services of Choctaw County, LLC | General Acute Care Hospital | 311 West Cherry Street, Ackerman, MS 39735-8708 | 2011-09-19 |
| 1104814169 | Brandywine Health Services of Mississippi, Inc | General Acute Care Hospital | 311 E Cherry St, Ackerman, MS 39735-9795 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
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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.