GEORGE COUNTY HOSPITAL (NPI# 1710270814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710270814 |
| Entity Type | Organization |
| Organization Name | GEORGE COUNTY HOSPITAL |
| Other Organization Name | GEORGE COUNTY HOSPITAL PHARMACY |
| Practice Address |
859 Winter St Lucedale MS 39452-6603 |
| Practice Telephone | 6016736181 |
| Practice Fax Number | 6017664293 |
| Mailing Telephone | 6016736181 |
| Mailing Fax Number | 6017664293 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CARMAN WALLEY (DOP) |
| Authorized Official Telephone | 6016736181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
02122/3.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130446 | 01 |
| Other Name | Type Code |
|---|---|
| George County Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1376166900 | George County Hospital | Orthopaedic Surgery | 57 Dewey St, Lucedale, MS 39452-5707 | 2020-05-18 |
| 1275796856 | George County Hospital | General Acute Care Hospital | 1017 Jackson Ave, Leakesville, MS 39451-9105 | 2008-07-03 |
| 1184887754 | George County Hospital | Medicare Defined Swing Bed Unit | 1017 Jackson Ave, Leakesville, MS 39451-9105 | 2008-07-03 |
| 1205017977 | George County Hospital | Skilled Nursing Facility | 1017 Jackson Ave, Leakesville, MS 39451-9105 | 2007-11-21 |
| 1477590099 | George County Hospital | General Acute Care Hospital | 859 Winter St, Lucedale, MS 39452-6603 | 2006-06-01 |
| 1932166444 | George County Hospital | Medicare Defined Swing Bed Unit | 859 Winter St, Lucedale, MS 39452-6603 | 2006-04-27 |
| 1023074028 | George County Hospital | General Acute Care Hospital | 859 Winter St, Lucedale, MS 39452-6603 | 2006-04-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GEORGE COUNTY HOSPITAL | 859 Winter St, Lucedale, MS 39452-6603 |
| Street Address |
859 WINTER ST |
| City | LUCEDALE |
| State | MS |
| Zip Code | 39452-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770552259 | William Frank Mcarthur | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2006-03-16 |
| 1932765625 | Grhs Hospital Pediatricians | Pediatrics | 859 Winter St, Lucedale, MS 39452-6603 | 2019-05-17 |
| 1407379084 | Edward Eray Howell | Registered Nurse | 859 Winter St, Lucedale, MS 39452-6603 | 2017-07-25 |
| 1114389541 | Jo'el Cheri Welch | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2016-03-24 |
| 1871978403 | Frankie Mixon | Nurse Practitioner | 859 Winter St, Lucedale, MS 39452-6603 | 2015-07-24 |
| 1043690936 | George Regional Er Physicians | Emergency Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2015-06-04 |
| 1982023149 | Christopher Shane Blomberg | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2014-04-15 |
| 1992059315 | Cmc Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1982958302 | Wiggins Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1750648515 | George Regional Hospital | General Acute Care Hospital | 859 Winter St, Lucedale, MS 39452-6603 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420609 | Jennifer K. Walker | Massage Therapist | 352 Oak Street, Lucedale, MS 39452 | 2010-06-29 |
| 1780827543 | David J.conner D.d.s. | Dentist | 17215 Hwy 26, Lucedale, MS 39452 | 2009-04-09 |
| 1285873042 | Rebecca Graves | Nurse Practitioner | 92 W Ratliff St, Lucedale, MS 39452 | 2009-02-18 |
| 1639381791 | George County School District | Registered Nurse | Rocky Creek Elementary, 2183 Rocky Creek Road, Lucedale, MS 39452 | 2007-05-03 |
| 1386856425 | George County School District | Registered Nurse | Central Elementary School, 14159 Hwy 26 West, Lucedale, MS 39452 | 2007-05-03 |
| 1730301961 | George County School District | Registered Nurse | Agricola Elementary School, 6165 Hwy 613, Lucedale, MS 39452 | 2007-05-03 |
| 1932311156 | George County School District | Registered Nurse | Lucedale Elementary School, 689 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1295947471 | George County School District | Registered Nurse | George County Middle School, 330 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1952522583 | David J. Conner | Dentist | 17215 Highway 26 W, Lucedale, MS 39452 | 2007-05-01 |
| 1225258676 | Keith A Brown | Dentist | 16 Plaza Drive, Lucedale, MS 39452 | 2007-04-26 |
| Find all providers in zip 39452 | ||||
| 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 |
|---|---|---|---|---|
| 1841623808 | George County Pharmacy | Pharmacy | 92 Ratliff St, Lucedale, MS 39452-6537 | 2013-08-14 |
| 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 |
| 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 |
| 1194850917 | North Mississippi State Hospital Pharmacy | Pharmacy | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2007-02-22 |
| 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.