FRIENDSHIP CENTER-COMMUNITY OUTREACH SERVICES (NPI# 1508170424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508170424 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP CENTER-COMMUNITY OUTREACH SERVICES |
| Practice Address |
5701 North Hill Street Meridian MS 39307-2903 |
| Mailing Address |
P.o. Box 4128 West Station Meridian MS 39304-4128 |
| Practice Telephone | 6015818170 |
| Practice Fax Number | 6014827633 |
| Mailing Telephone | 6015817562 |
| Mailing Fax Number | 6015817676 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MRS. GERI RUTLEDGE-DOGGETT (BUSINESS SERVICES DIRECTOR) |
| Authorized Official Telephone | 6015817562 |
| Authorized Official Credential | MPPA |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST MISSISSIPPI STATE HOSPITAL |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
31-136 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03450376 | 05 |
| Street Address |
5701 NORTH HILL STREET |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432626 | Positive Innergy Counseling Services, LLC | Clinic/Center | 6562 King Rd, Meridian, MS 39305-8364 | 2020-06-19 |
| 1073148623 | Begin Within Counseling, LLC | Clinic/Center | 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 | 2020-03-04 |
| 1174155741 | Noble Intent | Clinic/Center | 1406 N Main St Ste 204, Meridian, ID 83642-1746 | 2020-02-11 |
| 1194362517 | Advanced Counseling LLC | Clinic/Center | 39 W Pine Ave, Meridian, ID 83642-2281 | 2019-12-04 |
| 1316293038 | Helping Hands Outreach Incorporated | Clinic/Center | 4296 E Stonebridge Dr, Meridian, ID 83642 | 2012-07-31 |
| 1346573532 | Midvalley Healthcare Pllc | Clinic/Center | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2009-09-07 |
| 1346489457 | Children's Clinic of Meridian | Clinic/Center | 1430 Hwy 19 N, Meridian, MS 39307-5378 | 2009-02-12 |
| 1235737347 | Idaho State University | Clinic/Center | 1311 E Central Dr, Meridian, ID 83642-7991 | 2020-10-12 |
| 1497380794 | Finesse Mental Health Wellness and Counseling Services | Clinic/Center | 1807 39th Pl, Meridian, MS 39307-5562 | 2020-03-06 |
| 1518507722 | Ada West Counseling LLC | Clinic/Center | 925 N Main St, Meridian, ID 83642-2301 | 2020-01-15 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on FRIENDSHIP CENTER-COMMUNITY OUTREACH SERVICES.
| 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.