WAYNE GENERAL HOSPITAL (NPI# 1407233612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407233612 |
Entity Type | Organization |
Organization Name | WAYNE GENERAL HOSPITAL |
Other Organization Name | DR. W.A. HENDRICKS, GENERAL, ENDOSCOPIC |
Practice Address |
940 Matthew Dr Suite 5 Waynesboro MS 39367-2522 |
Mailing Address |
Po Box 1249 Waynesboro MS 39367-1249 |
Practice Telephone | 6017357285 |
Mailing Telephone | 6017357285 |
Enumeration Date | 2015-04-27 |
Last Update Date | 2015-06-24 |
Authorized Official Name | MRS. KATHY D. WADDELL (CEO) |
Authorized Official Telephone | 6017357100 |
Is Organization Subpart | Y |
Parent Organization Name | WAYNE GENERAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dr. W.A. Hendricks, General, Endoscopic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063878676 | Wayne General Hospital | Anesthesiology | 940 Matthew Dr Ste 8, Waynesboro, MS 39367-2534 | 2016-01-12 |
1881099752 | Wayne General Hospital | In Home Supportive Care | 951 Matthew Dr Ste C, Waynesboro, MS 39367-2566 | 2014-11-04 |
1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
1861702383 | Wayne General Hospital | Family Medicine | 951 Matthew Dr, Suite A, Waynesboro, MS 39367-2565 | 2010-10-18 |
1023271723 | Wayne General Hospital | Respite Care | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2008-07-03 |
1972728590 | Wayne General Hospital | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
1093930638 | Wayne General Hospital | Nurse Anesthetist, Certified Registered | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
1598787160 | Wayne General Hospital | Home Health | 920 Matthew Dr, Suite 2, Waynesboro, MS 39367-2553 | 2006-07-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WAYNE GENERAL HOSPITAL | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
Street Address |
940 MATTHEW DR SUITE 5 |
City | WAYNESBORO |
State | MS |
Zip Code | 39367-2522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033270921 | Hattiesburg Clinic Pa | Internal Medicine | 940 Matthew Dr, Waynesboro, MS 39367-2522 | 2006-12-13 |
1215209986 | Amanda L Freeman | Nurse Practitioner | 940 Matthew Dr, Ste 8, Waynesboro, MS 39367-2522 | 2012-01-27 |
1598077703 | Wesley Aaron Hendricks | Surgery | 940 Matthew Dr, Waynesboro, MS 39367-2522 | 2010-07-06 |
1669522942 | Mississippi Family Medicine P C | Clinic/Center | 940 Matthew Dr, Suite 2, Waynesboro, MS 39367-2522 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
Find all providers in zip 39367 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225303340 | Patients' Choice Medical Clinic LLC | Clinic/Center | 501 Azalea Dr, Suite F, Waynesboro, MS 39367-2661 | 2012-03-22 |
1649382425 | Ramt & Acm, Inc | Clinic/Center | 2611 W Main St, Suite 1, Waynesboro, VA 22980-1600 | 2006-08-31 |
1821091059 | Waynesboro Hospital | Clinic/Center | 501 E Main St, Waynesboro, PA 17268-2353 | 2005-05-23 |
1659522415 | Gentle Laser Skin Care Center Inc | Clinic/Center | 1700 E Main St, Waynesboro, PA 17268-1877 | 2008-10-09 |
1487789202 | Dierdre L. Terlep, Dds, PC | Clinic/Center | 1305 13th St, Suite D-1, Waynesboro, VA 22980-3631 | 2007-02-22 |
1083780894 | Waynesboro Hospital | Clinic/Center | 501 E Main St, Waynesboro, PA 17268-2353 | 2006-11-27 |
1548231467 | Meadow Dialysis Facility, Inc. | Clinic/Center | 27 Vista Dr, Waynesboro, PA 17268-2541 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760080337 | Traditions Hospice of Biloxi, LLC | Clinic/Center | 243 Beauvoir Rd Ste B, Biloxi, MS 39531-4008 | 2020-10-15 |
1386242097 | Traditions Hospice of Ridgeland, LLC | Clinic/Center | 680 Highway 51 Ste L, Ridgeland, MS 39157-2103 | 2020-10-14 |
1346848694 | Hayco LLC | Clinic/Center | 425 S Jackson St, Brookhaven, MS 39601-3817 | 2020-10-09 |
1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
1023628245 | Durrett Health Care LLC | Clinic/Center | 1515 Munsford Dr, New Albany, MS 38652-7407 | 2020-08-03 |
1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 39367 |
Please comment or provide details below to improve the information on WAYNE GENERAL 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.