KEMPER CAH, INC. (NPI# 1912348616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912348616 |
| Entity Type | Organization |
| Organization Name | KEMPER CAH, INC. |
| Other Organization Name | RUSH MEDICAL CLINIC - DEKALB |
| Practice Address |
14365 Highway 16 W De Kalb MS 39328-7974 |
| Mailing Address |
1314 19th Ave Meridian MS 39301-4116 |
| Practice Telephone | 6017434626 |
| Practice Fax Number | 6017432133 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| 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 |
|---|---|
| Rush Medical Clinic - DEKALB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346546306 | Kemper Cah, Inc. | Nurse Anesthetist, Certified Registered | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-02-08 |
| 1518260322 | Kemper Cah, Inc. | Medicare Defined Swing Bed Unit | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-12-16 |
| 1679875645 | Kemper Cah, Inc. | General Acute Care Hospital | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-11-24 |
| Street Address |
14365 HIGHWAY 16 W |
| City | DE KALB |
| State | MS |
| Zip Code | 39328-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808732 | Martha Maxine Puckett | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2005-11-18 |
| 1407412976 | Mississippi Em-i Medical Services PC | Physician Assistant | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2019-05-10 |
| 1326522319 | Sammy Elizabeth Kratzer | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2018-09-17 |
| 1326419375 | Mitzi Trosper | Pharmacist | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2015-10-16 |
| 1467716860 | Anna Marie Hailey-sharp | Family Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2012-06-29 |
| 1871876342 | Rush Care, Inc. | Internal Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-09-21 |
| 1346546306 | Kemper Cah, Inc. | Nurse Anesthetist, Certified Registered | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-02-08 |
| 1194020248 | Father of Waters Emergency Physicians LLC | Emergency Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-01-21 |
| 1518260322 | Kemper Cah, Inc. | Medicare Defined Swing Bed Unit | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-12-16 |
| 1679875645 | Kemper Cah, Inc. | General Acute Care Hospital | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
| 1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| 1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
| 1609866235 | Kemper County Ltc Inc | Skilled Nursing Facility | 220 Willow Ave, Dekalb, MS 39328-0577 | 2005-10-25 |
| Find all providers in zip 39328 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
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| 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 |
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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.