GORTON RURAL HEALTH CLINIC (NPI# 1699801654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699801654 |
Entity Type | Organization |
Organization Name | GORTON RURAL HEALTH CLINIC |
Practice Address |
107 Church St Belzoni MS 39038-3929 |
Practice Telephone | 6622472105 |
Mailing Telephone | 6622472105 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2016-05-19 |
Authorized Official Name | SIDNEY CARLTON GORTON (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6622472105 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MS | Ambulatory Health Care Facilities |
Street Address |
107 CHURCH ST |
City | BELZONI |
State | MS |
Zip Code | 39038-3929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972572683 | Sidney Carlton Gorton | Internal Medicine | 107 Church St, Belzoni, MS 39038-3929 | 2006-03-15 |
1407410947 | Lynn Nevels Whitehead | Nurse Practitioner | 107 Church St, Belzoni, MS 39038-3929 | 2019-04-30 |
1841799616 | Jeffrey B Hughes | Physician Assistant | 107 Church St, Belzoni, MS 39038-3929 | 2018-02-07 |
1225164122 | Gorton Lab and X-ray, LLC | Family Medicine | 107 Church St, Belzoni, MS 39038-3929 | 2007-02-26 |
1972643708 | Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 107 Church St, Belzoni, MS 39038 | 2007-02-08 |
1528037116 | Walter M Gorton | Internal Medicine | 107 Church St, Belzoni, MS 39038-3929 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366628927 | Patients' Choice Medical Center of Humphreys County, LLC | Family Medicine | 500 Ccc Rd, Belzoni, MS 39038 | 2008-01-14 |
1689731606 | Sean Shahzad Dailami-pour | Family Medicine | 116 Hayden Street, Belzoni, MS 39038 | 2007-01-02 |
1235295304 | G A Carmichael Family Health Center Inc | Clinic/Center | 1301 E First St, Belzoni, MS 39038 | 2006-12-30 |
1922023860 | Mid-delta Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 15982 Hwy 49, Belzoni, MS 39038 | 2006-07-13 |
1104885367 | We Care Equipment & Supply Inc | Durable Medical Equipment & Medical Supplies | 104 S Hayden St, Belzoni, MS 39038 | 2006-03-17 |
1528376894 | Elizabeth Nichols Lott | Nurse Practitioner | 107 Church St., Belzoni, MS 39038 | 2010-09-20 |
1851624928 | Emily Roberts Aust | Nurse Practitioner | 107 Church St., Belzoni, MS 39038 | 2009-09-08 |
1104955301 | Daisy Marie Thomas | Family Medicine | 500 Ccc Road, Belzoni, MS 39038 | 2007-03-05 |
1598991697 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 1301 First Street Extension, Belzoni, MS 39038-0000 | 2009-06-03 |
1720253735 | Humphreys County Memorial Hospital | Clinic/Center | 500 Ccc Road, Belzoni, MS 39038-0000 | 2008-04-30 |
Find all providers in zip 39038 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598991697 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 1301 First Street Extension, Belzoni, MS 39038-0000 | 2009-06-03 |
1720253735 | Humphreys County Memorial Hospital | Clinic/Center | 500 Ccc Road, Belzoni, MS 39038-0000 | 2008-04-30 |
1487833562 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 1301 E First St, Belzoni, MS 39038-3436 | 2007-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GORTON RURAL HEALTH CLINIC.
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.