DIAMOND GROVE CENTER (NPI# 1619000593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619000593 |
| Entity Type | Organization |
| Organization Name | DIAMOND GROVE CENTER |
| Practice Address |
2311 Highway 15 S Louisville MS 39339-7071 |
| Practice Telephone | 6627790119 |
| Practice Fax Number | 6627790126 |
| Mailing Telephone | 6627790119 |
| Mailing Fax Number | 6627790126 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | PATRICK SWOOPES (ADMINISTRATOR) |
| Authorized Official Telephone | 6627790119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
03665 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | DIAMOND GROVE CENTER | 00330450 | 01 |
| MS | 00220801 | 05 | |
| MS | BLUE CROSS PROVIDER # | 00020375 | 01 |
| MS | 00220411 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
| 1659404572 | Diamond Grove Center | Psychiatric Residential Treatment Facility | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 1447350160 | Diamond Grove Center | Psychiatric Hospital | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-09-23 |
| Street Address |
2311 HIGHWAY 15 S |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-7071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
| 1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
| 1659404572 | Diamond Grove Center | Psychiatric Residential Treatment Facility | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| 1801967674 | Kenneth E Peres | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-11-13 |
| 1447350160 | Diamond Grove Center | Psychiatric Hospital | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
| 1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
| 1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
| 1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
| 1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
| 1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
| Find all providers in zip 39339 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104998269 | Pharmakan, Inc | Pharmacy | 1042a River Oaks Dr, Flowood, MS 39232-9594 | 2006-11-14 |
| 1740202571 | Boswell Regional Center | Pharmacy | 1049 Hwy 149, Magee, MS 39111 | 2006-07-24 |
| 1962999789 | State Veterans Affairs Board | Pharmacy | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2018-04-17 |
| 1023549060 | Brentwood Acquisition Pharmacy | Pharmacy | 3531 Lakeland Dr, Flowood, MS 39232-8049 | 2017-03-22 |
| 1285177394 | Formulaone Pharmaceuticals, LLC | Pharmacy | 127 Pratt Dr, Corinth, MS 38834-6026 | 2016-11-21 |
| 1578989430 | King's Daughters Hospital Pharmacy | Pharmacy | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2014-03-14 |
| 1841623808 | George County Pharmacy | Pharmacy | 92 Ratliff St, Lucedale, MS 39452-6537 | 2013-08-14 |
| 1487787347 | Alliance Health Center Pharmacy | Pharmacy | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2007-03-13 |
| 1194850917 | North Mississippi State Hospital Pharmacy | Pharmacy | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2007-02-22 |
| 1679630008 | South Mississippi State Hospital | Pharmacy | 823 Highway 589, Purvis, MS 39475-4194 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 39339 |
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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.