NESHOBA COUNTY GENERAL HOSPITAL (NPI# 1083659734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083659734 |
| Entity Type | Organization |
| Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Practice Address |
1001 Holland Ave Philadelphia MS 39350-2161 |
| Mailing Address |
1001 Holland Ave Po Box 648 Philadelphia MS 39350-2161 |
| Practice Telephone | 6016631200 |
| Practice Fax Number | 6016631273 |
| Mailing Telephone | 6016631200 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | GARY LEE MCCALL JR. (CEO) |
| Authorized Official Telephone | 6016631230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
00859031 | MS | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 282N00000X | General Acute Care Hospital | 11-227 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00037257 | 05 | |
| MS | 00020181 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2509694 | 01 | |
| BLUE CROSS | 000020181 | 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
| 1649650359 | Hahnemann University Hospital | General Acute Care Hospital | 245 N 15th St # Ms 420, Philadelphia, PA 19102-1101 | 2015-06-08 |
| 1699160432 | Beth Israel Deaconess Medical Center, Inc. | General Acute Care Hospital | 908 Pine St. Apt 2f, Philadelphia, PA 19107 | 2015-03-30 |
| 1285979179 | Minute Clinic | General Acute Care Hospital | 487 Shurs Ln, Philadelphia, PA 19128-3505 | 2012-12-03 |
| 1437407152 | Temple University Health System | General Acute Care Hospital | 3401 N. Broad St, Department of Radiology, Philadelphia, PA 19140 | 2012-08-28 |
| 1376806398 | Patrick O'toole | General Acute Care Hospital | 1015 Walnut Street, Room 801 Curtis Building, Philadelphia, PA 19107 | 2012-06-25 |
| 1932462397 | Michael Riesa | General Acute Care Hospital | 2301 S Broad St Rm 112, Philadelphia, PA 19148-3542 | 2012-06-20 |
| 1659657872 | Hahnemann University Hospital | General Acute Care Hospital | 245 N. 15th Street, Ms #435, Department of Pathology, Philadelphia, PA 19102 | 2011-11-02 |
| 1003104530 | Hospital of The University of Pennsylvania | General Acute Care Hospital | 2121 Market St Apt 220, Philadelphia, PA 19103-1309 | 2011-07-19 |
| 1588950703 | Linda Smith | General Acute Care Hospital | 2934 Gilham St, Philadelphia, PA 19149-3018 | 2011-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
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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.