AMITE COUNTY MEDICAL SERVICES, INC. (NPI# 1659693083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659693083 |
| Entity Type | Organization |
| Organization Name | AMITE COUNTY MEDICAL SERVICES, INC. |
| Other Organization Name | LIBERTY DENTAL SERVICES |
| Practice Address |
102 West Freedom Drive Liberty MS 39645 |
| Mailing Address |
Po Box 511 Liberty MS 39645-0511 |
| Practice Telephone | 6016571236 |
| Practice Fax Number | 6016579181 |
| Mailing Telephone | 6016571236 |
| Mailing Fax Number | 6016579181 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | MRS. PAM T. POOLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6016574326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015383 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Dental 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 |
| 1609242056 | Amite County Medical Services, Inc. | Clinic/Center | 300 Rawls Drive, Suite 1300, Mccomb, MS 39648 | 2015-08-19 |
| 1073634226 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2007-04-03 |
| Street Address |
102 WEST FREEDOM DRIVE |
| City | LIBERTY |
| State | MS |
| Zip Code | 39645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699724906 | Henry L Lewis | Family Medicine | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2006-05-06 |
| 1295097269 | Karen Christine Ross | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645 | 2012-06-14 |
| 1013227743 | Carla Brown | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2010-10-15 |
| 1073634226 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2007-04-03 |
| 1134283542 | Amy Anthony Spinks | Dentist | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1265646145 | Amite County School District | Registered Nurse | 3457 S. Greensburg Rd., Liberty, MS 39645 | 2007-05-09 |
| 1861428716 | Heather Johnson Harden | Nurse Practitioner | 138 Clinic Drive, Liberty, MS 39645 | 2006-06-23 |
| 1427567791 | Melanie Dawne Robertson | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2017-09-29 |
| 1528337367 | Care One Health | In Home Supportive Care | 171 East Main Street, Liberty, MS 39645 | 2011-12-23 |
| 1639124183 | Liberty Drug Store, Inc. | Pharmacist | 110 E Main St, Liberty, MS 39645 | 2006-05-23 |
| 1720036890 | Shelby T White | Nurse Practitioner | 102 West Freedrom Drive, Liberty, MS 39645-0511 | 2006-05-04 |
| 1417934357 | Frank B Freeman | Dentist | 102 West Freedom, Liberty, MS 39645-0511 | 2005-12-30 |
| Find all providers in zip 39645 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1437531035 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1841 E Ky 70, Liberty, KY 42539-6718 | 2015-06-19 |
| 1881076487 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1673 E Ky 70, Liberty, KY 42539-6716 | 2015-06-19 |
| 1639551237 | Cumberland Family Medical Center, Inc. | Clinic/Center | 75 College St, Liberty, KY 42539-3271 | 2015-06-19 |
| 1902228075 | Cumberland Family Medical Center Inc | Clinic/Center | 376 Randolph St, Liberty, KY 42539-3382 | 2014-01-09 |
| 1073634226 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2007-04-03 |
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| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
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| 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.