NESHOBA COUNTY GENERAL HOSPITAL (NPI# 1003946138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003946138 |
| Entity Type | Organization |
| Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Practice Address |
1001 Holland Ave Philadelphia MS 39350-2161 |
| Mailing Address |
Po Box 648 Philadelphia MS 39350-0648 |
| Practice Telephone | 6016631200 |
| Practice Fax Number | 6016631379 |
| Mailing Telephone | 6016631200 |
| Mailing Fax Number | 6016631379 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | MR. SCOTT MCNAIR (CFO) |
| Authorized Official Telephone | 6016631233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
11227 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013199 | 05 | |
| MS | MEDICARE MAMMOGRAPHY SCREENING | 450000033 | 01 |
| MS | BLUE CROSS | 000019181 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1942399118 | Neshoba County General Hospital | Pediatrics | 1122 E Main St Ste 6, Philadelphia, MS 39350-2348 | 2006-10-12 |
| 1003834979 | Neshoba County General Hospital | Clinic/Center | 213 Hospital Rd W, Philadelphia, MS 39350-2211 | 2006-07-18 |
| 1144775107 | Neshoba County General Hospital | Nurse Practitioner | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2016-08-19 |
| 1013382308 | Neshoba County General Hospital | Radiology | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2015-12-11 |
| 1144665670 | Neshoba County General Hospital | Family Medicine | 1003 Holland Ave, Suite 103, Philadelphia, MS 39350-2180 | 2013-05-10 |
| 1750686341 | Neshoba County General Hospital | Family Medicine | 1001 Holland Ave, Suite 4, Philadelphia, MS 39350-2161 | 2011-01-13 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| 1528295532 | Neshoba County General Hospital | Clinic/Center | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2009-06-17 |
| 1114057247 | Neshoba County General Hospital | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NESHOBA COUNTY GENERAL HOSPITAL | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Street Address |
1001 HOLLAND AVE |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514178 | Pamela Z Mccool | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-08 |
| 1639705791 | Jessica Stokes | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2020-03-19 |
| 1699310854 | Sidney Stuart Hill | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-11-12 |
| 1710538061 | Tanya Wilson Tullos | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-26 |
| 1396394599 | Ashley Kaye Barber | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-10 |
| 1871152215 | Rebecca Prince | Speech-Language Pathologist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-06-10 |
| 1063973071 | Julie Holley Coleman | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-03-31 |
| 1528559184 | Anna Fulton Spence | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-05-19 |
| 1912405358 | Cyndi Weldy | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-31 |
| 1053828764 | Julie Thomas | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-03 |
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|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
| 1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1114542263 | Sean Paul Paul Schlosser | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-06-15 |
| 1164915682 | Matthew Berger | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-06-09 |
| 1447789565 | Jackie Mae Anderson | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-12 |
| 1710367974 | Jean-gabriel Coignet | Emergency Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2015-06-03 |
| 1619315090 | Emily M Hatke | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2013-06-07 |
| 1093095887 | Matthew William Hammond | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2011-08-24 |
| 1801183678 | Carl Alec Alsup | Emergency Medicine | 1020 Sansom St Ste 239, Thompson Building, Philadelphia, PA 19107-5002 | 2011-06-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on NESHOBA COUNTY GENERAL HOSPITAL.
| 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.