GREATER MERIDIAN HEALTH CLINIC, INC. (NPI# 1770680019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770680019 |
| Entity Type | Organization |
| Organization Name | GREATER MERIDIAN HEALTH CLINIC, INC. |
| Other Organization Name | WINSTON COUNTY FAMILY MEDICAL CLINIC |
| Practice Address |
14130 Highway 15 S Ste D Louisville MS 39339-6452 |
| Mailing Address |
2701 Davis St Meridian MS 39301-5708 |
| Practice Telephone | 6627791175 |
| Practice Fax Number | 6019650324 |
| Mailing Telephone | (601) 693-0118 |
| Mailing Fax Number | 6019650324 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | WILBERT L. JONES (CEO) |
| Authorized Official Telephone | 6016930118 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER MERIDIAN HEALTH CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015060 | 05 |
| Other Name | Type Code |
|---|---|
| Winston County Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689187155 | Greater Meridian Health Clinic, Inc. | Local Education Agency (LEA) | 4000 10th St, Meridian, MS 39307-5956 | 2017-11-07 |
| 1275046716 | Greater Meridian Health Clinic, Inc. | Local Education Agency (LEA) | 900 44th Ave, Meridian, MS 39307-5913 | 2017-11-07 |
| 1982701223 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 201 Birch St, De Kalb, MS 39328-8017 | 2006-09-20 |
| 1962509208 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 927 Kemper St, Scooba, MS 39358-7478 | 2006-09-20 |
| 1841397189 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 67 Mulberry Street, Shuqualak, MS 39361 | 2006-09-20 |
| 1396842027 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 105 Felix Long St, Starkville, MS 39759-8608 | 2006-09-16 |
| 1366955817 | Greater Meridian Health Clinic, Inc. | Local Education Agency (LEA) | 2320 32nd St, Meridian, MS 39305-4657 | 2017-11-07 |
| 1912008749 | Greater Meridian Health Clinic, Inc. | Pharmacy | 2701 Davis St, Meridian, MS 39301-5708 | 2006-09-26 |
| 1821199654 | Greater Meridian Health Clinic, Inc. | Dentist | 2701 Davis St, Meridian, MS 39301-5708 | 2006-09-26 |
| 1649371477 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 2701 Davis St, Meridian, MS 39301-5708 | 2006-09-26 |
| Street Address |
14130 HIGHWAY 15 S STE D |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-6452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568914505 | Rita Carter-mcreynolds | Nurse Practitioner | 14130 Highway 15 S Ste D, Louisville, MS 39339-6452 | 2016-10-25 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649732603 | Family Health Centers, Inc. | Clinic/Center | 4803 Southside Dr, Louisville, KY 40214-2111 | 2019-04-01 |
| 1578774477 | Family Health Centers, Inc. | Clinic/Center | 4805 Southside Dr, Louisville, KY 40214-2111 | 2007-05-24 |
| 1780698506 | Park Duvalle Community Health Center, Inc | Clinic/Center | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2006-07-28 |
| 1255354361 | Park Duvalle Community Health Center, Inc. | Clinic/Center | 1015 W Chestnut St, Louisville, KY 40203-2048 | 2006-07-26 |
| 1275151292 | Park Duvalle Community Health Center, Inc | Clinic/Center | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2020-07-07 |
| 1639727951 | Park Duvalle Community Health Center, Inc | Clinic/Center | 1130 W Chestnut St, Louisville, KY 40203-2047 | 2019-08-29 |
| 1811545403 | Park Duvalle Community Health Center, Inc | Clinic/Center | 5901 Greenwood Rd, Louisville, KY 40258-2409 | 2019-08-28 |
| 1427574862 | Family Health Centers, Inc. | Clinic/Center | 2500 W Market St, Louisville, KY 40212-1541 | 2017-08-17 |
| 1245253160 | Park Duvalle Community Health Center, Inc. | Clinic/Center | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2006-07-25 |
| 1134172489 | Family Health Centers, Inc. | Clinic/Center | 834 E Broadway, Louisville, KY 40204-1072 | 2006-05-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 39339 |
Please comment or provide details below to improve the information on GREATER MERIDIAN HEALTH CLINIC, INC..
| 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.