SOUTHERN HEALTH CORP OF HOUSTON,INC. (NPI# 1366465502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366465502 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH CORP OF HOUSTON,INC. |
| Other Organization Name | TRACE REGIONAL HOSPITAL |
| Practice Address |
Hwy 8 East Houston MS 38851 |
| Mailing Address |
Po Box 626 Houston MS 38851 |
| Practice Telephone | 6624563701 |
| Practice Fax Number | 6624561083 |
| Mailing Telephone | 6624563701 |
| Mailing Fax Number | 6624561083 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MS. PAMELA D COOK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6624561002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 12296 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220415 | 05 | |
| MS | MEDICARE / CAHABA | C02335 | 01 |
| MS | MEDICARE / CAHABA | C 02044 | 01 |
| MS | 00220424 | 05 | |
| MS | MEDICARE / CAHABA | C00717 | 01 |
| MS | 09013354 | 05 | |
| MS | 09013117 | 05 |
| Other Name | Type Code |
|---|---|
| Trace Regional Hospital | Doing Business As Name - Organization |
| Street Address |
HWY 8 EAST |
| City | HOUSTON |
| State | MS |
| Zip Code | 38851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
| 1134215478 | Chickasaw Emergency Group LLC | Emergency Medicine | Hwy 8 East, Houston, MS 38851-0000 | 2006-10-05 |
| 1811933948 | Floyd Lee Horn | Emergency Medicine | Hwy 8 East, Houston, MS 38851 | 2006-06-20 |
| 1003850009 | Stanko Vuk | Emergency Medicine | Hwy 8 East, Houston, MS 38851 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
| 1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
| 1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
| 1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
| 1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
| 1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
| 1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1134212038 | Chickasaw Dental Group L. L. C. | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-10-02 |
| 1568563856 | Herman Kavanaugh Smith | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-26 |
| Find all providers in zip 38851 | ||||
| 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 |
|---|---|---|---|---|
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1396288536 | Amini Smc LLC | General Acute Care Hospital | 16103 Cerca Blanca Dr, Houston, TX 77083-4940 | 2016-11-20 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1316315989 | Supplemental Health Care | General Acute Care Hospital | 6851 Caddo Lake Ln, Houston, TX 77083-3505 | 2015-09-12 |
| 1316327679 | Taher Mustafa Mandviwala | General Acute Care Hospital | 12402 Normont Dr, Houston, TX 77070-2455 | 2015-06-02 |
| 1528451374 | Tangela Bristo | General Acute Care Hospital | 1699 Romano Park Ln, Apt 542, Houston, TX 77090-2353 | 2015-03-17 |
| 1578967121 | Horace T Robbins, M.d. | General Acute Care Hospital | 21 Briar Hollow Ln Unit 703, Houston, TX 77027-2808 | 2014-10-10 |
| 1588066849 | New Era Surgical Group, Pllc | General Acute Care Hospital | 4200 Twelve Oaks Drive, Houston, TX 77027 | 2014-09-18 |
| 1841690740 | Chi St Luke's Health Baylor St. Luke's Medical Center | General Acute Care Hospital | 6720 Bertner Street, Mc 4-278 Box 112, Houston, TX 77030 | 2014-08-27 |
| 1003158379 | Michael James Jamieson | General Acute Care Hospital | 1410 Southmore Blvd, Houston, TX 77004-5846 | 2013-03-25 |
| Find all providers in HOUSTON | ||||
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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.