SIMPSON COMMUNITY HEALTHCARE, INC (NPI# 1609069962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609069962 |
| Entity Type | Organization |
| Organization Name | SIMPSON COMMUNITY HEALTHCARE, INC |
| Other Organization Name | SGH MEDICAL CLINIC |
| Practice Address |
1827c Simpson Highway 149 Mendenhall MS 39114-3439 |
| Mailing Address |
1842 Simpson Highway 149 Mendenhall MS 39114-3438 |
| Practice Telephone | 6018472221 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MR. RANDALL O. NEELY (CEO) |
| Authorized Official Telephone | 6018477214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SGH Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356427843 | Simpson Community Healthcare, Inc | Clinic/Center | 1865 Simpson Highway 469, Florence, MS 39073-7430 | 2006-10-27 |
| 1841450483 | Simpson Community Healthcare, Inc | Clinic/Center | 6455 Highway 18, Brandon, MS 39042 | 2008-06-16 |
| Street Address |
1827C SIMPSON HIGHWAY 149 |
| City | MENDENHALL |
| State | MS |
| Zip Code | 39114-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548460454 | Harpal Singh | Family Medicine | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2007-07-19 |
| 1306182035 | Jason Randel Bowen | Nurse Practitioner | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2012-12-28 |
| 1386946192 | Sandra Peterson Lott | Nurse Practitioner | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593553 | Rita Seater Parker | Occupational Therapy Assistant | 925 West Mangum Blvd., Mendenhall, MS 39114 | 2013-08-27 |
| 1740573633 | Sheree Walters | Physical Therapy Assistant | 925 West Mangum Blvd, Mendenhall, MS 39114 | 2011-05-25 |
| 1346300423 | Amnuey M Chiemprabha Md Pa | Surgery | 820 Mangum Ave, Mendenhall, MS 39114 | 2006-12-11 |
| 1982620274 | Family Health Care Clinic, Inc. | Clinic/Center | 401 Main St N, Mendenhall, MS 39114 | 2006-07-13 |
| 1811318942 | Anna Lauren Wallace | Dietitian, Registered | 102 N. Main St., Mendenhall, MS 39114 | 2013-12-16 |
| 1639249568 | Glenn A Brien Sr. | Dentist | 122 Main St, Mendenhall, MS 39114 | 2006-11-08 |
| 1710382619 | Patriot Home Care | Respite Care | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2014-11-04 |
| 1346606191 | Jaytoria Wilkins | Chore Provider | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2016-01-09 |
| 1588106553 | 121 Medical Place, Inc | Clinic/Center | 820 Mangum Ave, Mendenhall, MS 39114-3025 | 2016-11-08 |
| 1497737571 | Bedford Care Center of Mendenhall, LLC | Skilled Nursing Facility | 925 Mangum Ave, Mendenhall, MS 39114-3026 | 2005-11-15 |
| Find all providers in zip 39114 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 | MENDENHALL |
| Zip Code | 39114 |
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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.