NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1982669156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982669156 |
Entity Type | Organization |
Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
Other Organization Name | NORTH MISSISSIPPI MEDICAL CENTER HOSPICE |
Practice Address |
422-b East President Ave Tupelo MS 38801-5500 |
Mailing Address |
830 S Gloster St Tupelo MS 38801-4934 |
Practice Telephone | 6623773612 |
Practice Fax Number | 6623777983 |
Mailing Telephone | 6623773000 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2019-10-08 |
Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
Authorized Official Telephone | 6623773978 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 001 | MS | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00070662 | 05 | |
MS | BLUE CROSS | 000070614 | 01 |
Other Name | Type Code |
---|---|
North Mississippi Medical Center Hospice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
1740835305 | North Mississippi Medical Center, Inc. | Internal Medicine | 408 Council Cir Ste A, Tupelo, MS 38801-4949 | 2019-08-09 |
1689028391 | North Mississippi Medical Center, Inc. | Psychologist | 2704 W Oxford Loop # 110, Oxford, MS 38655-5714 | 2016-04-19 |
1164539193 | North Mississippi Medical Center, Inc. | Skilled Nursing Facility | 739 Fourth Street, Baldwyn, MS 38824 | 2006-08-24 |
1942317326 | North Mississippi Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 990 S Madison St, Suite 2, Tupelo, MS 38801-6308 | 2006-08-23 |
1003871344 | North Mississippi Medical Center, Inc. | Home Health | 424 East President Street, Tupelo, MS 38801-5500 | 2006-04-19 |
1639602014 | North Mississippi Medical Center, Inc. | Neurological Surgery | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-04-04 |
1427404235 | North Mississippi Medical Center, Inc. | Social Worker | 961 S Gloster St, Suite A, Tupelo, MS 38801-6343 | 2016-05-11 |
1881064517 | North Mississippi Medical Center, Inc. | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTH MISSISSIPPI MEDICAL CENTER, INC. | 830 S Gloster St, Tupelo, MS 38801-4934 |
Street Address |
422-B EAST PRESIDENT AVE |
City | TUPELO |
State | MS |
Zip Code | 38801-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265710404 | Camellia Hospice of Northeast Mississippi, LLC | Hospice Care, Community Based | 499 Gloster Creek Vlg Ste I-7, Tupelo, MS 38801 | 2011-07-21 |
1750471942 | St. Jude Hospice Mississippi, LLC | Hospice Care, Community Based | 3166 W Jackson St, Suite # 2, Tupelo, MS 38801-7154 | 2006-10-16 |
1659392645 | Sanctuary Hospice House, Inc | Hospice Care, Community Based | 5159 W Main St, Tupelo, MS 38801-0200 | 2006-07-22 |
1497785646 | North Mississippi Hospice, Inc. | Hospice Care, Community Based | 105 S. Thomas St. Ste. 105, Tupelo, MS 38801-5337 | 2006-07-04 |
1417995846 | Aseracare Hospice - Corinth, LLC | Hospice Care, Community Based | 280 S Thomas St, Suite 101, Tupelo, MS 38801-4302 | 2006-06-04 |
1659613529 | Unity Hospice Care, LLC | Hospice Care, Community Based | 1413 W Main St, Tupelo, MS 38801-3400 | 2013-03-19 |
1538419718 | Gilbert's Hospice Care, LLC | Hospice Care, Community Based | 144 S Thomas St, Suite 105, Tupelo, MS 38801-5337 | 2012-09-14 |
1669753356 | Hospice Advantage, LLC. | Hospice Care, Community Based | 280 S Thomas St, Suite 101, Tupelo, MS 38801-4302 | 2011-09-08 |
1033426820 | Saint Jude Hospice-mississippi,llc | Hospice Care, Community Based | 3166 W Jackson St, Suite 2, Tupelo, MS 38801-7154 | 2010-09-01 |
1508803842 | Southerncare, Inc. | Hospice Care, Community Based | 408 Council Cir, Suite B, Tupelo, MS 38801-4949 | 2006-06-02 |
Find all providers in TUPELO |
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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.