Calhoun Health Services

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

11259 Issued in MS

Legal business name

CALHOUN HEALTH SERVICES

Practice address

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690

Phone

(662) 628-6611

Fax

(662) 628-6300

NPI assigned

Aug 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda T Suber, CPA

Title

Director of Fiscal Services

Phone

(662) 628-6611

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1003062407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "662-628-6611",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "11259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029213",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.