SOUTH PIKE HOSPITAL ASSOCIATION, INC (NPI# 1992024558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024558 |
| Entity Type | Organization |
| Organization Name | SOUTH PIKE HOSPITAL ASSOCIATION, INC |
| Other Organization Name | OSYKA FAMILY CLINIC |
| Practice Address |
1081 Second St Osyka MS 39657-8076 |
| Mailing Address |
Po Box 351 Magnolia MS 39652-0351 |
| Practice Telephone | 6015423300 |
| Practice Fax Number | 6015425999 |
| Mailing Telephone | 6017832353 |
| Mailing Fax Number | 6017839003 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MR. GUY C. GELLER (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 6017832353 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH PIKE HOSPITAL ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
16-275 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Osyka Family Clinic | Doing Business As Name - Organization |
| Street Address |
1081 SECOND ST |
| City | OSYKA |
| State | MS |
| Zip Code | 39657-8076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932158482 | Debbie Zachary | Nurse Practitioner | 1081 Second St, Osyka, MS 39657-8076 | 2006-05-10 |
| 1174572135 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1081 Second St, Osyka, MS 39657-8076 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770705170 | South Pike | Registered Nurse | 444 Amite Street, Osyka, MS 39657 | 2007-05-03 |
| 1689283806 | Gracious Blessings LLC | Adult Companion | 114 3rd Street, Osyka, MS 39657-3965 | 2020-07-23 |
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1609270321 | Blaire Mcmillan | Speech-Language Pathologist | 1679 Mcmillan Rd, Osyka, MS 39657-8197 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1689283806 | Gracious Blessings LLC | Adult Companion | 114 3rd Street, Osyka, MS 39657-3965 | 2020-07-23 |
| 1609270321 | Blaire Mcmillan | Speech-Language Pathologist | 1679 Mcmillan Rd, Osyka, MS 39657-8197 | 2014-10-09 |
| 1770705170 | South Pike | Registered Nurse | 444 Amite Street, Osyka, MS 39657 | 2007-05-03 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572135 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1081 Second St, Osyka, MS 39657-8076 | 2006-05-08 |
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|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
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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.