WAYNE GENERAL HOSPITAL (NPI# 1023271723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023271723 |
| Entity Type | Organization |
| Organization Name | WAYNE GENERAL HOSPITAL |
| Other Organization Name | WAYNE GENERAL HOSP RESPITE |
| Practice Address |
950 Matthew Dr Waynesboro MS 39367-2567 |
| Mailing Address |
950 Matthew Dr P O Box 1249 Waynesboro MS 39367-2567 |
| Practice Telephone | 6017355151 |
| Practice Fax Number | 6017357168 |
| Mailing Telephone | 6017355151 |
| Mailing Fax Number | 6017357168 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MRS. KATHY WADDELL (ADMINISTRATOR) |
| Authorized Official Telephone | 6017355151 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 13181 | MS | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770447 | 05 |
| Other Name | Type Code |
|---|---|
| Wayne General Hosp Respite | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063878676 | Wayne General Hospital | Anesthesiology | 940 Matthew Dr Ste 8, Waynesboro, MS 39367-2534 | 2016-01-12 |
| 1881099752 | Wayne General Hospital | In Home Supportive Care | 951 Matthew Dr Ste C, Waynesboro, MS 39367-2566 | 2014-11-04 |
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1407233612 | Wayne General Hospital | Clinic/Center | 940 Matthew Dr, Suite 5, Waynesboro, MS 39367-2522 | 2015-04-27 |
| 1861702383 | Wayne General Hospital | Family Medicine | 951 Matthew Dr, Suite A, Waynesboro, MS 39367-2565 | 2010-10-18 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1093930638 | Wayne General Hospital | Nurse Anesthetist, Certified Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1598787160 | Wayne General Hospital | Home Health | 920 Matthew Dr, Suite 2, Waynesboro, MS 39367-2553 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYNE GENERAL HOSPITAL | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Street Address |
950 MATTHEW DR |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1679952535 | Jordan B Ingram | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2590 | 2015-05-26 |
| 1831483569 | Janet M Bullock | Dietitian, Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2011-05-28 |
| 1659683266 | Douglas Hunt Blackledge | Anesthesiology | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2010-07-12 |
| 1366614901 | Wayne General Ambulance | Ambulance | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-03-24 |
| 1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1093930638 | Wayne General Hospital | Nurse Anesthetist, Certified Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1902021546 | Wayne General Hospsital | Internal Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1669484655 | Brian K Williams | Family Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1407415680 | Accordius Health At Waynesboro LLC | Respite Care | 1221 Rosser Ave, Waynesboro, VA 22980-3336 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050237 | Unified Home & Respite Care, LLC | Respite Care | 317 Highland Blvd Ste G, Natchez, MS 39120-4634 | 2020-10-14 |
| 1124636659 | Graceful Serenity LLC | Respite Care | 1440 Dunn Pease Rd, Raymond, MS 39154-8252 | 2020-07-21 |
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1801412838 | Ycsc Gulf Coast Ms, LLC | Respite Care | 770 Water St Ste 428, Biloxi, MS 39530-4220 | 2020-06-25 |
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1750935714 | La Respite, LLC | Respite Care | 701 Bowie Ln, Greenwood, MS 38930-5935 | 2019-07-29 |
| 1851944524 | Tracey Bernard Scurlock Jr. | Respite Care | 3747 Eureka Rd, Batesville, MS 38606-8064 | 2019-07-22 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1871062521 | Live, Laugh and Love Homecare Services | Respite Care | 604 Highway 80 W Ste Roffice1, Clinton, MS 39056-4108 | 2018-11-23 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
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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.