COVINGTON COUNTY HOSPITAL (NPI# 1306460282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306460282 |
| Entity Type | Organization |
| Organization Name | COVINGTON COUNTY HOSPITAL |
| Other Organization Name | EXPRESS CARE TAYORSVILLE |
| Practice Address |
105 Eaton St Taylorsville MS 39168-5614 |
| Practice Telephone | 6017656711 |
| Practice Fax Number | 6016980112 |
| Mailing Telephone | 6017656711 |
| Mailing Fax Number | 6016980112 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | ANISSA L EVANS (CREDENTIALING DIRECTOR) |
| Authorized Official Telephone | 6016980328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Express Care Tayorsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1013205350 | Covington County Hospital | Clinic/Center | 3275 Hwy 49, Suite E, Collins, MS 39428 | 2011-07-20 |
| 1134435498 | Covington County Hospital | Clinic/Center | 211 W Main Street, Seminary, MS 39479-0211 | 2010-08-25 |
| 1275157141 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1659995538 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1750895611 | Covington County Hospital | Clinic/Center | 800 3rd St Sw, Magee, MS 39111-3951 | 2017-11-29 |
| 1336447861 | Covington County Hospital | Clinic/Center | 603 South Main Street, Mt. Olive, MS 39119-4945 | 2011-03-08 |
| 1053615518 | Covington County Hospital | Skilled Nursing Facility | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-27 |
| 1518260330 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-16 |
| 1629235023 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2008-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVINGTON COUNTY HOSPITAL | 701 S Holly Ave, Collins, MS 39428-3894 |
| Street Address |
105 EATON ST |
| City | TAYLORSVILLE |
| State | MS |
| Zip Code | 39168-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157141 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
| 1891020509 | Vera Denise Kennedy-miller | Massage Therapist | 968 Scr 7, Taylorsville, MS 39168 | 2009-10-14 |
| 1710110374 | Family Health Care Clinic, Inc | Clinic/Center | 213 South County Road, 10 B, Taylorsville, MS 39168 | 2009-08-31 |
| 1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
| 1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1780714386 | Randy's House of Medicine | Durable Medical Equipment & Medical Supplies | 305 Front St, Taylorsville, MS 39168 | 2007-03-06 |
| 1881773877 | Diane Wyatt | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| 1558458885 | John R. Harper | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2006-10-06 |
| 1912015298 | Carolyn Ann Schrader | Nurse Practitioner | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2006-08-28 |
| Find all providers in zip 39168 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182372 | Kirby Chiropractic | Clinic/Center | 174 Bolick Ln Ste 102, Taylorsville, NC 28681-4362 | 2017-09-01 |
| 1740307206 | Seraphine Birth Center and Family Clinics | Clinic/Center | 6216 S Redwood Rd, Taylorsville, UT 84123-6630 | 2007-03-22 |
| 1639539463 | Jfmc Taylorsville, LLC | Clinic/Center | 403 Pine St, Taylorsville, MS 39168-5528 | 2016-03-07 |
| 1720205339 | John R. Harper,md, Pa | Clinic/Center | 105 Eaton Street, Taylorsville, MS 39168 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 39168 |
Please comment or provide details below to improve the information on COVINGTON COUNTY HOSPITAL.
| 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.