STATE OF MS UMC NEWBORN TRANSPORT (NPI# 1801010988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801010988 |
| Entity Type | Organization |
| Organization Name | STATE OF MS UMC NEWBORN TRANSPORT |
| Other Organization Name | THE UNIVERSITY OF NISS MEDICAL CENTER |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6018155207 |
| Mailing Telephone | 6018155207 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHILLIP RHODES (DIRECTOR OF NEWBORN TRANSPORT) |
| Authorized Official Telephone | 6018155207 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
00018960 | MS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS OF MS | 00018960 | 01 |
| MS | 00050077 | 05 |
| Other Name | Type Code |
|---|---|
| THE UNIVERSITY OF NISS MEDICAL CENTER | Former Legal Business Name - Organization |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104481092 | Breathitt-wolfe Ems Inc | Ambulance | 3 Howell Ln, Jackson, KY 41339-8657 | 2019-05-06 |
| 1730564436 | Jackson Township First Aid Squad Inc | Ambulance | 38 E Veterans Hwy, Jackson, NJ 08527-4519 | 2015-07-23 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1437418506 | Arrow-med Ambulance, Inc. | Ambulance | 68 Shacks Ln, Jackson, KY 41339-7603 | 2012-05-10 |
| 1457627986 | Six Flags Great Adventure LLC | Ambulance | 1 Six Flags Blvd, Jackson, NJ 08527-5369 | 2012-03-29 |
| 1851601132 | County of Jackson | Ambulance | 260 Pattonsville Rd, Jackson, OH 45640-9452 | 2010-10-20 |
| 1760635700 | Life Star Healthcare LLC | Ambulance | 111 Glendale St, Jackson, TN 38301-5101 | 2008-11-03 |
| 1003947953 | County of Teton | Ambulance | 40 E Pearl Ave, Jackson, WY 83001 | 2007-03-09 |
| 1770686610 | Village of Jackson | Ambulance | W204n16722 Jackson Dr, Jackson, WI 53037-9796 | 2006-09-06 |
| 1831206713 | Jackson Emergency Transport Service, LLC | Ambulance | 210 S Kimball Ave, Jackson, AL 36545-2726 | 2006-08-24 |
| Find all providers in JACKSON | ||||
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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.