SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC (NPI# 1144407420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144407420 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC |
| Other Organization Name | SHARP FAMITY CARE CENTER |
| Practice Address |
501 Eagle Day Ave Columbia MS 39429-3605 |
| Mailing Address |
Po Box 256 Columbia MS 39429-0256 |
| Practice Telephone | 6017319108 |
| Practice Fax Number | 6017319190 |
| Mailing Telephone | 6017319108 |
| Mailing Fax Number | 6017319190 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. BENJAMIN PETTUS (CEO) |
| Authorized Official Telephone | 6018764926 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015059 | 05 | |
| MS | MEDICARE | 231869 | 01 |
| Other Name | Type Code |
|---|---|
| Sharp Famity Care Center | Doing Business As Name - Organization |
| Street Address |
501 EAGLE DAY AVE |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1891314902 | Just Health | Clinic/Center | 201 Main St # 9, Columbia, LA 71418-6705 | 2020-04-09 |
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| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
| 1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
| 1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
| 1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
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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.