TALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY (NPI# 1659555761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659555761 |
| Entity Type | Organization |
| Organization Name | TALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY |
| Other Organization Name | EXTENDED CARE FACILITY |
| Practice Address |
201 South Market Street Charleston MS 38921 |
| Mailing Address |
Po Box 230 Charleston MS 38921 |
| Practice Telephone | 6626475535 |
| Practice Fax Number | 6626478432 |
| Mailing Telephone | 6626475535 |
| Mailing Fax Number | 6626478432 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | JIM BLACKWOOD (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 6626475535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1054 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00023141 | 05 |
| Other Name | Type Code |
|---|---|
| EXTENDED CARE FACILITY | Doing Business As Name - Organization |
| Street Address |
201 SOUTH MARKET STREET |
| City | CHARLESTON |
| State | MS |
| Zip Code | 38921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1588015341 | Kyle Wiggins | Dentist | 203 South Market St, Charleston, MS 38921 | 2016-06-23 |
| 1316152010 | Wolfe Family Medical Clinic Pllc | Clinic/Center | 203 E Walnut St, Charleston, MS 38921 | 2007-05-14 |
| 1962617530 | East Tallahatchie Schools | Registered Nurse | 35 Oak Grove Road, Charleston, MS 38921 | 2007-05-14 |
| 1518052661 | Carlene Maynor Wolfe | Nurse Practitioner | 204 East Walnut Street, Charleston, MS 38921 | 2006-10-04 |
| 1003921172 | James Oscar Wilde Jr. | Family Medicine | 201 S. Market St., Charleston, MS 38921 | 2006-08-20 |
| 1851919658 | Delta Med South, Inc. | Durable Medical Equipment & Medical Supplies | 7 Court Sq, Charleston, MS 38921 | 2020-07-08 |
| 1932616950 | Sharon Bradley | Homemaker | 29 Nell St, Charleston, MS 38921-1424 | 2017-12-30 |
| 1649595505 | Lasuna M Curry | Counselor | 17 N Market St, Charleston, MS 38921-1524 | 2010-04-05 |
| 1619172392 | Marijo D Cox | Counselor | 13 N Market St, Charleston, MS 38921-1524 | 2007-06-20 |
| Find all providers in zip 38921 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760520936 | Greenhurst, Inc. | Nursing Facility/Intermediate Care Facility | 226 Skyler Dr, Pob 458, Charleston, AR 72933-9337 | 2007-02-01 |
| 1972936482 | Eastbrook Center LLC | Nursing Facility/Intermediate Care Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2013-08-20 |
| 1588961130 | Wvupc Heartland of Charleston | Nursing Facility/Intermediate Care Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2011-02-17 |
| 1942507595 | Wvupc Quarry Manor | Nursing Facility/Intermediate Care Facility | 699 S Park Rd, Charleston, WV 25304-2627 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842641 | Crossroads Adult Day Care | Nursing Facility/Intermediate Care Facility | 519 S Church St, Brookhaven, MS 39601-3807 | 2015-01-27 |
| 1699108860 | Holistic Geriatric Care LLC | Nursing Facility/Intermediate Care Facility | 10026 Lizelia Rd, Meridian, MS 39305-9595 | 2013-08-12 |
| 1538492111 | Iva Ward LLC | Nursing Facility/Intermediate Care Facility | 711 Melrose Montebello Pkwy, Natchez, MS 39120-4924 | 2009-09-14 |
| 1295961969 | River Oaks Management, LLC | Nursing Facility/Intermediate Care Facility | 501 Highway 80 E, Brandon, MS 39042-3257 | 2009-06-08 |
| 1063697340 | North Bolivar School District | Nursing Facility/Intermediate Care Facility | 615 School Street, Duncan, MS 38740 | 2008-01-04 |
| 1568683498 | Whitfield Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 2101 Proper St, Corinth, MS 38834-5247 | 2007-05-01 |
| 1265656391 | Gilberto Patino | Nursing Facility/Intermediate Care Facility | 419 Elizabeth Drive, Leakesville, MS 39451 | 2007-04-12 |
| 1013048453 | Bruce Nursing Center, Inc. | Nursing Facility/Intermediate Care Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-03-08 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1346378387 | Care Center of Clinton | Nursing Facility/Intermediate Care Facility | 1251 Pinehaven Rd, Clinton, MS 39056-3455 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 38921 |
Please comment or provide details below to improve the information on TALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY.
| 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.