REGION TEN STATE OF MS (NPI# 1700134624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700134624 |
| Entity Type | Organization |
| Organization Name | REGION TEN STATE OF MS |
| Other Organization Name | WEEMS MENTAL HEALTH |
| Practice Address |
1415 College Drive Meridian MS 39307 |
| Practice Telephone | 6014834821 |
| Mailing Telephone | 6014834821 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | LORI WALTON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6014834821 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGION TEN STATE OF MISSISSIPPI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018210 | 05 |
| Other Name | Type Code |
|---|---|
| Weems Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093791 | Region Ten State of Ms | Clinic/Center | 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 | 2019-09-26 |
| 1932602174 | Region Ten State of Ms | Clinic/Center | 1405 College Dr, Meridian, MS 39307-5345 | 2018-03-14 |
| 1003326158 | Region Ten State of Ms | Clinic/Center | 701 Northside Dr, Newton, MS 39345-2361 | 2017-10-03 |
| 1164931952 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2017-09-25 |
| 1073626511 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2006-08-17 |
| Street Address |
1415 COLLEGE DRIVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1477972099 | Shayla Kirksey | Counselor | 1415 College Drive, Meridian, MS 39307 | 2014-04-10 |
| 1932412145 | Kimberly Key | Social Worker | 1415 College Drive, Meridian, MS 39307 | 2010-07-16 |
| 1508179714 | Linda Hopkins | Counselor | 1415 College Drive, Meridian, MS 39307 | 2010-07-16 |
| 1417260621 | Yolanda Green | Social Worker | 1415 College Drive, Meridian, MS 39307 | 2010-07-16 |
| 1487967790 | Latasha Kimbrough | Counselor | 1415 College Drive, Meridian, MS 39307 | 2010-07-16 |
| 1174843577 | Allyson Dees | Counselor | 1415 College Drive, Meridian, MS 39307 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| 1205466414 | Arlene Edwards | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-16 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1699048009 | Rosauers Supermarkets Inc | Pharmacy | 2986 N Eagle Rd, Meridian, ID 83646-6251 | 2012-02-15 |
| 1093953218 | Walgreen Co | Pharmacy | 4850 N Linder Rd, Meridian, ID 83646-6159 | 2009-01-26 |
| 1447324967 | Transcript Pharmacy Inc | Pharmacy | 1815 Highway 39 N, Ste E, Meridian, MS 39301-2732 | 2006-11-17 |
| 1417056722 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 820 Highway 19 N Ste 195, Meridian, MS 39307-5820 | 2006-09-22 |
| 1114929296 | Hulls Pharmacy Inc | Pharmacy | 2000 24th Ave, Meridian, MS 39301-3120 | 2005-06-02 |
| 1710525829 | The Family Medicine Residency of Idaho, Inc. | Pharmacy | 2275 S Eagle Rd Ste 120, Meridian, ID 83642-2620 | 2019-12-19 |
| 1609311448 | Freds Stores of Tennessee Inc | Pharmacy | 626 22nd Ave S, Meridian, MS 39301-6120 | 2017-01-04 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on REGION TEN STATE OF MS.
| 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.