RUSH MEDICAL FOUNDATION (NPI# 1912079625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912079625 |
| Entity Type | Organization |
| Organization Name | RUSH MEDICAL FOUNDATION |
| Other Organization Name | H.C. WATKINS MEMORIAL HOSPITAL |
| Practice Address |
605 S Archusa Ave Quitman MS 39355-2331 |
| Mailing Address |
Po Box 5208 Meridian MS 39302-5208 |
| Practice Telephone | 6017766925 |
| Practice Fax Number | 6017767147 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| H.C. Watkins Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393435 | Rush Medical Foundation | Family Medicine | 2800 N Hills St, Meridian, MS 39305-2643 | 2020-10-15 |
| 1275910663 | Rush Medical Foundation | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2015-05-05 |
| 1811233950 | Rush Medical Foundation | Clinic/Center | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2012-12-18 |
| 1164773438 | Rush Medical Foundation | Nurse Practitioner | 603 S Archusa Ave, Quitman, MS 39355-2331 | 2012-09-27 |
| 1659599090 | Rush Medical Foundation | Emergency Medicine | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-04-23 |
| 1477670966 | Rush Medical Foundation | Medicare Defined Swing Bed Unit | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-03-22 |
| 1588625594 | Rush Medical Foundation | Nurse Anesthetist, Certified Registered | 1314 19th Ave, Meridian, MS 39301-4116 | 2006-03-29 |
| 1770543399 | Rush Medical Foundation | General Acute Care Hospital | 1314 19th Ave, Meridian, MS 39301-4116 | 2006-03-27 |
| Street Address |
605 S ARCHUSA AVE |
| City | QUITMAN |
| State | MS |
| Zip Code | 39355-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383010 | Bonnie A. Woods | Nurse Anesthetist, Certified Registered | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2005-11-15 |
| 1538798582 | Melanie Chambers | Social Worker | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2020-04-02 |
| 1770964629 | Mississippi Em-i Medical Serives PC | Radiology | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2015-06-17 |
| 1003045410 | Patsy Lenan Holloway | Nurse Practitioner | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2009-07-07 |
| 1508048489 | Chickasawhay Emergency Physicians LLC | Emergency Medicine | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-12-03 |
| 1659599090 | Rush Medical Foundation | Emergency Medicine | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-04-23 |
| 1477670966 | Rush Medical Foundation | Medicare Defined Swing Bed Unit | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-03-22 |
| 1780784421 | Jennifer D. Branstetter | Pharmacist | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154653848 | Amedisys Mississippi, L.L.C. | Home Health | 123 N. Archusa Avenue, Quitman, MS 39355 | 2010-02-04 |
| 1447340575 | Paratech Ems, Inc. | Ambulance | 111 East Church St, Quitman, MS 39355-0001 | 2006-10-12 |
| 1649719782 | V.i.s.a.r. Inc | In Home Supportive Care | 108 W Church St Ste B, Quitman, MS 39355-0099 | 2017-02-22 |
| 1780778084 | Donald Gene Traxler | Dentist | 303 A South Archusa Ave, Quitman, MS 39355-0159 | 2006-10-03 |
| 1619944287 | Glenn M Cochran | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2006-03-02 |
| 1922312388 | David M Holifield | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2010-07-27 |
| 1205080512 | Glenn M Cochran Od Pllc | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2008-11-13 |
| 1477963817 | Mississippi State Department of Health | Public Health or Welfare | 426 W Donald St, Quitman, MS 39355-2000 | 2014-05-07 |
| 1740404805 | Hammack Drugs, LLC | Pharmacist | 101 W Donald St, Quitman, MS 39355-2013 | 2007-04-12 |
| 1801812185 | Hospice Care Group, LLC | Hospice Care, Community Based | 114 E Donald St, Quitman, MS 39355-2025 | 2006-07-13 |
| Find all providers in zip 39355 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890942 | Brooks County Hospital | General Acute Care Hospital | 903 N Court St, Quitman, GA 31643-1315 | 2006-05-19 |
| 1396748430 | East Texas Medical Center Quitman | General Acute Care Hospital | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2005-05-23 |
| 1477061885 | Quitman Hospital LLC | General Acute Care Hospital | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 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.