STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1700872173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700872173 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Other Organization Name | HOLMES COUNTY HOSPITAL AND CLINIC |
| Practice Address |
239 Bowling Green Rd Lexington MS 39095-5167 |
| Mailing Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6628341321 |
| Practice Fax Number | 6018156301 |
| Mailing Telephone | 6628341321 |
| Mailing Fax Number | 6018156301 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MR. WILLIAM KENNEDY (DIRECTOR OF PATIENT FINANCIAL SERV) |
| Authorized Official Telephone | 6019844680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Holmes County Hospital and Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563527 | State of Mississippi - University of Mississippi Medical Center | Prosthetic/Orthotic Supplier | 1410 E Woodrow Wilson Ave Ste I, Jackson, MS 39216-5114 | 2019-08-12 |
| 1194738393 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 18295 Emory Road, West, MS 39192-0000 | 2006-08-15 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1821525957 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2017-05-19 |
| 1528595667 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 418b N Applegate St, Winona, MS 38967-1827 | 2017-05-19 |
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1376969030 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-05 |
| 1972759132 | State of Mississippi - University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| 1972759140 | State of Mississippi - University of Mississippi Medical Center | Dietitian, Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| Street Address |
239 BOWLING GREEN RD |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083035422 | Leslee S Loden | Occupational Therapist | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2014-01-03 |
| 1770864381 | Amy Chapman Johnson | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2011-09-09 |
| 1518149723 | Univ Hospital Holmes County | Clinic/Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-11-29 |
| 1821297961 | Keith I Stokes | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-07-17 |
| 1124142559 | Mickey Aldridge | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-03-19 |
| 1902938624 | Mark Alan Smothers | Emergency Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-03-09 |
| 1457401788 | William Scott Elwood | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-01-11 |
| 1033204383 | Jolynn M White | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-10-03 |
| 1013020395 | Umc Hosptial Clinics | Emergency Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-08-17 |
| 1841200771 | Frank A. Brown | Internal Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073584751 | Lexington Hospital Corporation | Medicare Defined Swing Bed Unit | 200 W Church St, Lexington, TN 38351-2014 | 2006-01-30 |
| 1235118852 | Carilion Stonewall Jackson Hospital | Medicare Defined Swing Bed Unit | 1 Health Cir, Lexington, VA 24450-2448 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1740833391 | Guardian Angel Healthcare II, Inc. | Medicare Defined Swing Bed Unit | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2019-07-23 |
| 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.