MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. (NPI# 1942359765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942359765 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. |
| Other Organization Name | METHODIST REHAB CENTER |
| Practice Address |
1350 E Woodrow Wilson Ave Jackson MS 39216-5112 |
| Practice Telephone | 6019812611 |
| Mailing Telephone | 6019812611 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | GARY ARMSTRONG (EXEC VICE PRESIDENT) |
| Authorized Official Telephone | 6019812611 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 43-278 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00020223 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Rehab Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803926 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1607 Louisville Ave, Monroe, LA 71201-6027 | 2007-02-01 |
| 1770621963 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1 Layfair Dr Ste 300, Flowood, MS 39232-9717 | 2007-02-01 |
| 1790711273 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Physical Medicine & Rehabilitation | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2006-06-25 |
| 1104138940 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Prosthetic/Orthotic Supplier | 804 1st St, Cleveland, MS 38732-2310 | 2010-07-09 |
| 1841349792 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | General Acute Care Hospital | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-09 |
| Street Address |
1350 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790711273 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Physical Medicine & Rehabilitation | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2006-06-25 |
| 1922585967 | William Matthew Cliburn | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-07-23 |
| 1104329556 | Elizabeth Luker | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-03-13 |
| 1346563137 | Danny Ray Burgess | Psychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2010-03-08 |
| 1356572432 | Susan F Hermes | Psychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2009-08-06 |
| 1659531713 | Patricia Weaver Baird | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-12 |
| 1053579409 | Katie Ogletree Black | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-01 |
| 1740456235 | Jessica G Martinez | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-05-05 |
| 1629243100 | Peggy L Kelly | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1477728905 | Lisa T Indest | Physical Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1144392028 | Comprehensive Rehabilitarian Centers Inc | Rehabilitation Unit | 216 W Morrell St, Suite 200, Jackson, MI 49203 | 2006-11-15 |
| 1184649865 | Jackson Madison County General Hospital | Rehabilitation Unit | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1942225727 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Dr, Jackson, TN 38301-3923 | 2006-07-13 |
| 1699761064 | State of Mississippi - University of Mississippi Medical Center | Rehabilitation Unit | 2500 N State St, Jackson, MS 39216-4500 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1851501308 | Elliott Temple Fleming | Rehabilitation Unit | Riley Memorial Hospital, 1102 Constitution Ave, Meridian, MS 39301-7170 | 2007-05-23 |
| 1881620649 | Natchez Regional Medical Center | Rehabilitation Unit | 54 Seargent S Prentiss Dr, Natchez, MS 39120 | 2006-06-24 |
| 1083013478 | Natchez Hospital Company LLC | Rehabilitation Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2014-08-21 |
| 1114223880 | Anderson Regional Medical Center | Rehabilitation Unit | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2011-01-28 |
| 1912121120 | Southwest Mississippi Regional Medical Center | Rehabilitation Unit | 215 Marion Ave, Mccomb, MS 39648-2705 | 2007-04-12 |
| 1245369255 | Memorial Hospital At Gulfport | Rehabilitation Unit | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-05 |
| 1225116486 | Singing River Health System | Rehabilitation Unit | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-11-02 |
| 1760567168 | Delta Regional Medical Center | Rehabilitation Unit | 1400 E Union St, Greenville, MS 38703-3246 | 2006-10-25 |
| 1225125859 | Baptist Memorial Hospital North Mississippi, Inc | Rehabilitation Unit | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2006-10-06 |
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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.