TISHOMINGO HEALTH SERVICES, INC. (NPI# 1770938979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770938979 |
| Entity Type | Organization |
| Organization Name | TISHOMINGO HEALTH SERVICES, INC. |
| Other Organization Name | BURNSVILLE FAMILY MEDICAL CLINIC |
| Practice Address |
367 Highway 72 Burnsville MS 38833-9320 |
| Mailing Address |
456 E President Ave Tupelo MS 38801-5515 |
| Practice Telephone | 6624234510 |
| Mailing Telephone | 6623774685 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | JOSEPH REPPERT (TREASURER) |
| Authorized Official Telephone | 6623773978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
13-221 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Burnsville Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295105922 | Tishomingo Health Services, Inc. | Clinic/Center | 26 3rd St, Belmont, MS 38827-7737 | 2015-10-07 |
| 1013028356 | Tishomingo Health Services, Inc. | Clinic/Center | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1558472803 | Tishomingo Health Services, Inc. | Medicare Defined Swing Bed Unit | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1265543516 | Tishomingo Health Services, Inc. | Ambulance | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-31 |
| 1548376700 | Tishomingo Health Services, Inc. | General Acute Care Hospital | 1777 Curtis Dr, Iuka, MS 38852 | 2006-08-21 |
| Street Address |
367 HIGHWAY 72 |
| City | BURNSVILLE |
| State | MS |
| Zip Code | 38833-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952591877 | Bmc LLC. | Clinic/Center | 603b Highway 365, Burnsville, MS 38833 | 2007-07-26 |
| 1205922747 | Tami Bivins Johnson | Nurse Practitioner | 603b Hwy 365, Burnsville Medical Clinic, Burnsville, MS 38833 | 2006-10-04 |
| 1861691701 | Daniel Evan Koehlinger | Registered Nurse | 246 County Road 302, Burnsville, MS 38833-9248 | 2007-07-11 |
| 1144548181 | Caring Hands Family Health Care Clinic Inc | Clinic/Center | 369 Highway 72, Burnsville, MS 38833-9320 | 2010-05-15 |
| 1083745541 | Burns Inc | Pharmacist | 603 Hwy 365 South, Burnsville, MS 38833-9320 | 2007-03-08 |
| 1760896153 | Robert Terry Dalton Jr. | Pharmacist | 603 S Highway 365, Burnsville, MS 38833-9706 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1356940720 | Oyku Eskici | Physical Therapy Assistant | 1421 W 143rd St Apt 210, Burnsville, MN 55306-4992 | 2020-10-18 |
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1003414376 | Mary Kay Hill | Social Worker | 1200 Echo Dr, Burnsville, MN 55337-4730 | 2020-10-09 |
| 1467069229 | Family Therapy Center Inc | Early Intervention Provider Agency | 1501 Southcross Dr W, Burnsville, MN 55306-6938 | 2020-09-25 |
| 1932715372 | County of Yancey | Ambulance | 225 Wheeler Hills Rd, Burnsville, NC 28714-8406 | 2020-09-21 |
| 1003421116 | Mekha Joy Karot | Student in an Organized Health Care Education/Training Program | 328 E Travelers Trl, Burnsville, MN 55337-2885 | 2020-09-15 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| Find all providers in BURNSVILLE | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902855786 | Yancey County Primary Care Center | Clinic/Center | 202 Medical Campus Dr., Burnsville, NC 28714 | 2006-05-09 |
| 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 | ||||
| City | BURNSVILLE |
| Zip Code | 38833 |
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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.