COVENANT SLEEP CLINIC OF OXFORD, LLC (NPI# 1922142215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922142215 |
Entity Type | Organization |
Organization Name | COVENANT SLEEP CLINIC OF OXFORD, LLC |
Other Organization Name | SLEEP UNLIMITED OF OXFORD, LLC |
Practice Address |
2908 South Lamar Blvd Suite 200 Oxford MS 38655 |
Practice Telephone | 6622367807 |
Practice Fax Number | 6622367854 |
Mailing Telephone | 6622367807 |
Mailing Fax Number | 6622367854 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2014-07-07 |
Authorized Official Name | KENNETH K GOWEN III (PRESIDENT) |
Authorized Official Telephone | 6622367807 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sleep Unlimited of Oxford, LLC | Former Legal Business Name - Organization |
Street Address |
2908 SOUTH LAMAR BLVD SUITE 200 |
City | OXFORD |
State | MS |
Zip Code | 38655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
Find all providers in zip 38655 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
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1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
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1083965305 | American Sleep Associates, Inc | Clinic/Center | 601 Renaissance Way, Ste. B, Ridgeland, MS 39157-6038 | 2012-09-26 |
1114291341 | Sleep Management Systems, LLC | Clinic/Center | 670 Highway 178 W Ste 5, Sherman, MS 38869-7000 | 2012-03-06 |
1932338472 | Alpha Sleep, LLC | Clinic/Center | 111 Lamar Ave, Hattiesburg, MS 39402 | 2009-07-06 |
1801078951 | Sweet Magnolia Moon, A Sleep Center, LLC | Clinic/Center | 6026 U S Highway 98, Suite 3, Hattiesburg, MS 39402-8861 | 2007-11-30 |
1831251925 | Hattiesburg Clinic Pa | Clinic/Center | 101 Courtenay Cir, Hattiesburg, MS 39402-3153 | 2006-12-14 |
1104831809 | Indianola Sleep Clinic, LLC | Clinic/Center | 103 W Jackson St, Belzoni, MS 39038-3500 | 2006-07-30 |
1669413381 | Sleep Study Clinics of West Tennessee LLC | Clinic/Center | 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 | 2006-06-10 |
1659318574 | Sleep Diagnostics, LLC | Clinic/Center | 7600 Airways Blvd, Ste G, Southaven, MS 38671 | 2006-05-31 |
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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.