AMORY REGIONAL MEDICAL CENTER, INC (NPI# 1770017675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770017675 |
Entity Type | Organization |
Organization Name | AMORY REGIONAL MEDICAL CENTER, INC |
Other Organization Name | GILMORE MEMORIAL HOSPITAL |
Practice Address |
1105 Earl Frye Blvd Amory MS 38821-5500 |
Mailing Address |
1721 Midpark Rd Knoxville TN 37921-5977 |
Practice Telephone | 6622566002 |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-04-18 |
Authorized Official Name | STEVE CLAPP (PRESIDENT) |
Authorized Official Telephone | 8652694074 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
Other Name | Type Code |
---|---|
Gilmore Memorial Hospital | Doing Business As Name - Organization |
Street Address |
1105 EARL FRYE BLVD |
City | AMORY |
State | MS |
Zip Code | 38821-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649229212 | Tombigbee Emergency Physicians | Emergency Medicine | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2006-05-09 |
1689282345 | Monroe Health Services, Inc. | Obstetrics & Gynecology | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2020-07-20 |
1205470796 | Relias Hospitalist Medicine Specialists of Amory LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-29 |
1265074769 | Relias Emergency Medicine Specialists of Amory, LLC | Emergency Medicine | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-16 |
1588128896 | North Mississippi Gilmore Clinics, LLC | Pathology | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-01-31 |
1730613167 | Amory Regional Medical Center, Inc. | General Acute Care Hospital | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2017-04-12 |
1851831028 | Amory Regional Physicians,llc | Internal Medicine | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2017-03-07 |
1841735339 | Lisa Fleitas | Nurse Practitioner | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2016-12-20 |
1376948240 | Frederick Winston Flowers | Nurse Practitioner | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2014-11-04 |
1467856385 | Comprehensive Hospitalists of Ms, LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2014-10-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
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Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245701531 | Monroe Health Services, Inc. | Medicare Defined Swing Bed Unit | 1105 Earl Frye Blvd., Amory, MS 38821-5500 | 2018-12-11 |
1942255724 | Amory Hma LLC | Medicare Defined Swing Bed Unit | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
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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.