LAIRD HOSPITAL, INC (NPI# 1073959375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073959375 |
| Entity Type | Organization |
| Organization Name | LAIRD HOSPITAL, INC |
| Other Organization Name | RUSH MEDICAL CLINIC/COLLINSVILLE |
| Practice Address |
9097 Collinsville Rd Collinsville MS 39325-9779 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6016268874 |
| Practice Fax Number | 6016268592 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | MR. DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rush Medical Clinic/Collinsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124466214 | Laird Hospital, Inc | Midwife | 1221 24th Ave, Meridian, MS 39301-3926 | 2013-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAIRD HOSPITAL, INC. | 25117 Hwy 15, Union, MS 39365-9088 |
| Street Address |
9097 COLLINSVILLE RD |
| City | COLLINSVILLE |
| State | MS |
| Zip Code | 39325-9779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222890 | Edward Daniel Henderson Jr. | Family Medicine | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-18 |
| 1689096505 | Wendy D Gressett | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2014-01-11 |
| 1104115500 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2011-04-06 |
| 1578796462 | Rush Care, Inc. | Clinic/Center | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2009-08-26 |
| 1245213354 | Gloria J. Jackson | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609409 | Anna Victoria Stewart | Speech-Language Pathologist | 11790 Pine Grove Rd, Collinsville, MS 39325 | 2018-05-11 |
| 1083160782 | Chandra Sumlin-brown Dba Sumlin Behavioral Services | Psychiatric Hospital | 8237b Okatibbee Dam Road, Collinsville, MS 39325 | 2016-09-01 |
| 1982948980 | Lisa Wiliams | Registered Nurse | 8237 A Okatibbee Dam Rd, Collinsville, MS 39325 | 2012-11-15 |
| 1770883688 | Collinsville Family Dental | Dentist | 9171 A, Old Hwy 19n, Collinsville, MS 39325 | 2010-10-26 |
| 1942550280 | Adam Turbyfill | Pharmacist | 9155 Hwy 19, Collinsville, MS 39325-0175 | 2012-09-13 |
| 1811001878 | Collinsville Drugs Inc | Pharmacy | 9158 Hwy 19, Collinsville, MS 39325-0175 | 2006-08-18 |
| 1184238396 | Veronica Necole Mcfadden | Student in an Organized Health Care Education/Training Program | 8583 Wilsondale Rd, Collinsville, MS 39325-8957 | 2020-09-04 |
| 1659688422 | Oya Weston Hampton | Counselor | 9056b Collinsville Rd, Collinsville, MS 39325-9100 | 2010-09-01 |
| 1801997606 | Tammy N Henderson | General Practice | 9325c Highway 19 N, Collinsville, MS 39325-9219 | 2006-09-26 |
| 1477642791 | Kid's Clinic, Pllc | General Practice | 9325c Highway 19 N, Collinsville, MS 39325-9219 | 2006-10-12 |
| Find all providers in zip 39325 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578796462 | Rush Care, Inc. | Clinic/Center | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2009-08-26 |
| 1225159981 | North East Alabama Center for Infectious Disease& Internal Medicine | Clinic/Center | 107 Main St, Collinsville, AL 35961 | 2007-04-02 |
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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 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 39325 |
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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.