AMITE COUNTY MEDICAL SERVICES, INC. (NPI# 1700108578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700108578 |
| Entity Type | Organization |
| Organization Name | AMITE COUNTY MEDICAL SERVICES, INC. |
| Other Organization Name | GLOSTER DENTAL SERVICES |
| Practice Address |
253 East Main Street Gloster MS 39638 |
| Mailing Address |
Po Box 427 Gloster MS 39638-0427 |
| Practice Telephone | 6012254119 |
| Practice Fax Number | 6012254620 |
| Mailing Telephone | 6012254119 |
| Mailing Fax Number | 6012254620 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| 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 | 09013203 | 05 |
| Other Name | Type Code |
|---|---|
| Gloster Dental Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609242056 | Amite County Medical Services, Inc. | Clinic/Center | 300 Rawls Drive, Suite 1300, Mccomb, MS 39648 | 2015-08-19 |
| 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 |
253 EAST MAIN STREET |
| City | GLOSTER |
| State | MS |
| Zip Code | 39638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376876425 | Vivian Yvette Johnson | Marriage & Family Therapist | 150 Old Liberty Road, Gloster, MS 39638 | 2009-09-08 |
| 1861625295 | Linda Mclain Sterling | Speech-Language Pathologist | 154 Cassels, Gloster, MS 39638 | 2009-09-02 |
| 1578776647 | Amite County School District | Registered Nurse | 154 Railroad and Cassels, Gloster, MS 39638 | 2007-05-07 |
| 1104901339 | King & Mcnulty LLC | Pharmacy | 434 B South Captian Gloster Dr, Gloster, MS 39638 | 2006-10-26 |
| 1417965740 | King and Mcnulty, LLC | Pharmacy | 434 B South Captain Gloster Drive, Gloster, MS 39638 | 2006-08-03 |
| 1629241542 | Downtown Drug LLC | Pharmacy | 129 Main Street, Gloster, MS 39638 | 2008-04-11 |
| 1659846129 | Simmons T Copeland | Nurse Practitioner | 434 North Captain Drive, Gloster, MS 39638-3401 | 2018-10-10 |
| 1568652295 | James Warren Hollingsworth | Pharmacist | 434b N Captain Gloster Dr, Gloster, MS 39638-3401 | 2007-07-30 |
| 1144274622 | Field Memorial Community Hospital | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-05-20 |
| 1114567617 | Kristen Gordon | Nurse Practitioner | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2020-01-13 |
| Find all providers in zip 39638 | ||||
| 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.