SOUTH MISSISSIPPI STATE HOSPITAL (NPI# 1679630008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679630008 |
| Entity Type | Organization |
| Organization Name | SOUTH MISSISSIPPI STATE HOSPITAL |
| Other Organization Name | SOUTH MISSISSIPPI STATE HOSPITAL |
| Practice Address |
823 Highway 589 Purvis MS 39475-4194 |
| Practice Telephone | 6017940201 |
| Practice Fax Number | 6017940220 |
| Mailing Telephone | 6017940201 |
| Mailing Fax Number | 6017940220 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | CLINT ASHLEY (HOSPITAL DIRECTOR) |
| Authorized Official Telephone | 6017940152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
04871/3.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2046299 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTH MISSISSIPPI STATE HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| Street Address |
823 HIGHWAY 589 |
| City | PURVIS |
| State | MS |
| Zip Code | 39475-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1316578438 | Jamila Annice Spinks | Nurse Practitioner | 823 Highway 589, Purvis, MS 39475-4194 | 2020-01-28 |
| 1356995682 | Jennifer Alisha Hill | Nurse Practitioner | 823 Highway 589, Purvis, MS 39475-4194 | 2019-07-25 |
| 1457504730 | Suzanne Cox | Nurse Practitioner | 823 Highway 589, Purvis, MS 39475-4194 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986556 | Terrace Hill Dental Center Pllc | Dentist | 271 Hwy 589, Purvis, MS 39475 | 2016-12-07 |
| 1831469683 | Freds Stores of Tennessee Inc | Pharmacy | 509 Hwy 589, Purvis, MS 39475 | 2012-01-11 |
| 1154600120 | Shannon Love | Counselor | 89 Brewer Rd, Purvis, MS 39475 | 2011-08-09 |
| 1881992055 | Pearl River County Hospital | Family Medicine | 104 Highway 589, Purvis, MS 39475 | 2011-03-11 |
| 1740512102 | Burge Managment & Marketing, LLC | Durable Medical Equipment & Medical Supplies | 177 Shelby Speights, Suite C, Purvis, MS 39475 | 2010-02-09 |
| 1104151265 | Humphreys Dental, LLC | Dentist | 444 Shelby Speights Drive, Purvis, MS 39475 | 2009-10-07 |
| 1013149384 | Michelle E Howard | Marriage & Family Therapist | 143 N Windridge Lane #b, Purvis, MS 39475 | 2009-08-19 |
| 1811162324 | Lamar County School District | Registered Nurse | 213 School Street, Purvis, MS 39475 | 2008-04-25 |
| 1023283645 | Lamar County School District | Registered Nurse | 5402 U S Highway 11, Purvis, MS 39475 | 2008-04-24 |
| 1457568503 | Richard D. Vincent | Dentist | 444 Shelby Speights Dr., Purvis, MS 39475 | 2007-05-17 |
| Find all providers in zip 39475 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104998269 | Pharmakan, Inc | Pharmacy | 1042a River Oaks Dr, Flowood, MS 39232-9594 | 2006-11-14 |
| 1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
| 1740202571 | Boswell Regional Center | Pharmacy | 1049 Hwy 149, Magee, MS 39111 | 2006-07-24 |
| 1962999789 | State Veterans Affairs Board | Pharmacy | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2018-04-17 |
| 1023549060 | Brentwood Acquisition Pharmacy | Pharmacy | 3531 Lakeland Dr, Flowood, MS 39232-8049 | 2017-03-22 |
| 1285177394 | Formulaone Pharmaceuticals, LLC | Pharmacy | 127 Pratt Dr, Corinth, MS 38834-6026 | 2016-11-21 |
| 1578989430 | King's Daughters Hospital Pharmacy | Pharmacy | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2014-03-14 |
| 1841623808 | George County Pharmacy | Pharmacy | 92 Ratliff St, Lucedale, MS 39452-6537 | 2013-08-14 |
| 1487787347 | Alliance Health Center Pharmacy | Pharmacy | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2007-03-13 |
| 1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 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.