PERRY COUNTY GENERAL HOSPITAL LLC (NPI# 1982864526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982864526 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY GENERAL HOSPITAL LLC |
| Other Organization Name | PERRY COUNTY GENERAL HOSPITAL SNF |
| Practice Address |
206 Bay Street Richton MS 39476-1665 |
| Mailing Address |
Po Box 1665 Richton MS 39476-1665 |
| Practice Telephone | 6017886316 |
| Practice Fax Number | 6017882268 |
| Mailing Telephone | 6017886316 |
| Mailing Fax Number | 6017882268 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-02-04 |
| NPI Deactivation Date | 01/22/2020 |
| NPI Reactivation Date | 2020-02-04 |
| Authorized Official Name | MR. JOHN DAVID PARIS (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 6017886316 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERRY COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 12-234 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00029191 | 05 |
| Other Name | Type Code |
|---|---|
| Perry County General Hospital SNF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174783757 | Perry County General Hospital LLC | Psychiatric Unit | 206 Bay Street, Richton, MS 39476-1665 | 2008-06-17 |
| Street Address |
206 BAY STREET |
| City | RICHTON |
| State | MS |
| Zip Code | 39476-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932143989 | Perry County General Hospital | General Acute Care Hospital | 206 Bay Street, Richton, MS 39476-1665 | 2006-06-16 |
| 1174783757 | Perry County General Hospital LLC | Psychiatric Unit | 206 Bay Street, Richton, MS 39476-1665 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| 1518404136 | Mary Mcswain | Registered Nurse | 36a Amos Mcswain Rd, Richton, MS 39476 | 2017-01-20 |
| 1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
| 1689010209 | Par Medical Inc | Durable Medical Equipment & Medical Supplies | 156 Apple Avenue., Richton, MS 39476 | 2013-05-22 |
| 1164734109 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 403 N Front St, Richton, MS 39476 | 2010-07-07 |
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| 1851433585 | James Michael Pace | Family Medicine | 406 South Front Street, Richton, MS 39476 | 2007-02-12 |
| 1306931431 | Coastal Family Health Center Inc | Clinic/Center | 39455 Highway 63 North, Richton, MS 39476 | 2006-10-04 |
| 1942233283 | Hattiesburg Clinic, Pa | Clinic/Center | 303 Red Bud Avenue, Richton, MS 39476 | 2006-07-09 |
| 1518913060 | Patricia Pearce Dykes | Nurse Practitioner | 210 Bay Ave.l, Richton, MS 39476 | 2006-05-26 |
| Find all providers in zip 39476 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 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.