LAIRD HOSPITAL, INC. (NPI# 1275873572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275873572 |
| Entity Type | Organization |
| Organization Name | LAIRD HOSPITAL, INC. |
| Other Organization Name | RUSH MEDICAL CLINIC/PHILADELPHIA |
| Practice Address |
1106 Central Dr Philadelphia MS 39350-8972 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6016566921 |
| Practice Fax Number | 6016560381 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2013-02-22 |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rush Medical Clinic/Philadelphia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323170 | Laird Hospital, Inc. | Midwife | 252 Northside Dr, Newton, MS 39345-9756 | 2020-10-13 |
| 1114330347 | Laird Hospital, Inc. | Family Medicine | 1500 Highway 19 N, Meridian, MS 39307-5335 | 2014-06-05 |
| 1851643928 | Laird Hospital, Inc. | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2012-10-12 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| 1821046798 | Laird Hospital, Inc. | Surgery | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-04 |
| 1518924752 | Laird Hospital, Inc. | General Acute Care Hospital | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-01 |
| 1033176276 | Laird Hospital, Inc. | Medicare Defined Swing Bed Unit | 25117 Highway 15, Union, MS 39365-9088 | 2006-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAIRD HOSPITAL, INC. | 25117 Hwy 15, Union, MS 39365-9088 |
| Street Address |
1106 CENTRAL DR |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-8972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080316 | John E. Mann Jr. | Family Medicine | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2005-11-19 |
| 1518307024 | Betsy L Mann | Nurse Practitioner | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2013-06-28 |
| 1851657803 | Rush Medical Group of Newton, Pa | Obstetrics & Gynecology | 1106 Central Dr, Suite 3, Philadelphia, MS 39350-8972 | 2012-04-04 |
| 1952677528 | Rachael Reed Scarbrough | Social Worker | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2012-03-28 |
| 1629365853 | Christopher N Webb | Family Medicine | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2011-07-08 |
| 1356493951 | Krista L. Boyette | Family Medicine | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2007-01-17 |
| 1104801703 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1106 Central Dr, Philadelphia, MS 39350-8972 | 2005-12-07 |
| 1083696405 | George B. Campbell | Family Medicine | 1106 Central Dr, Suite 1, Philadelphia, MS 39350-8972 | 2005-11-20 |
| 1437131851 | Mary C. Dickens | Nurse Practitioner | 1106 Central Dr, Suite 1, Philadelphia, MS 39350-8972 | 2005-11-20 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003834979 | Neshoba County General Hospital | Clinic/Center | 213 Hospital Rd W, Philadelphia, MS 39350-2211 | 2006-07-18 |
| 1215419114 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 517 Center Ave N, Philadelphia, MS 39350-2552 | 2018-09-06 |
| 1124535604 | Carthage Area Hospital Inc | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2018-01-05 |
| 1053750125 | Anderson Regional Medical Center | Clinic/Center | 1056 Holland Ave, Philadelphia, MS 39350-9121 | 2013-06-21 |
| 1528295532 | Neshoba County General Hospital | Clinic/Center | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2009-06-17 |
| 1275621211 | Neshoba County General Hospital | Clinic/Center | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2006-10-11 |
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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 | 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.