GREATER MERIDIAN HEALTH CLINIC, INC. (NPI# 1982701223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982701223 |
| Entity Type | Organization |
| Organization Name | GREATER MERIDIAN HEALTH CLINIC, INC. |
| Other Organization Name | KEMPER FAMILY MEDICAL CENTER |
| Practice Address |
201 Birch St De Kalb MS 39328-8017 |
| Mailing Address |
2701 Davis St Meridian MS 39301-5708 |
| Practice Telephone | 6017432642 |
| Practice Fax Number | 6019650324 |
| Mailing Telephone | 6016930118 |
| 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 | 09014691 | 05 |
| Other Name | Type Code |
|---|---|
| Kemper Family Medical Center | 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 |
| 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 |
| 1770680019 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 14130 Highway 15 S Ste D, Louisville, MS 39339-6452 | 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 |
201 BIRCH ST |
| City | DE KALB |
| State | MS |
| Zip Code | 39328-8017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669889457 | Hannah Gray | Nurse Practitioner | 201 Birch St, De Kalb, MS 39328-8017 | 2014-07-14 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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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.