Organization Active NPI

Stone County Hospital, Inc

  • Ambulance
  • Wiggins, MS
National Provider Identifier
1003073057
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
969 Issued in MS
Legal business name
STONE COUNTY HOSPITAL, INC
Practice address
1434 Central Ave E
Wiggins, MS 39577-9602
Phone
(601) 928-6600
Fax
(601) 928-6658
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Darlene C Odom
Title
Business Office Director
Phone
(601) 928-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 969 MS Primary

Addresses

Primary practice location

1434 Central Ave E
Wiggins, MS 39577-9602

Mailing address

1434 Central Ave E
P O Drawer 97
Wiggins, MS 39577-9602
Phone (601) 928-6600

Other identifiers 1

IdentifierTypeStateIssuer
512G590001OtherMSCAHABA AMBULANCE

Other names 1

  • STONE COUNTY HOSPITAL AMBULANCE Doing business as

National Provider Directory

National Provider Directory

Locations

1434 Central Ave E
Wiggins, MS 39577
Phone (601) 928-6600

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1003073057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "address_2": "P O DRAWER 97",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600",
            "fax_number": "601-928-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600",
            "fax_number": "601-928-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE COUNTY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "601-928-6620"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA AMBULANCE",
            "identifier": "512G590001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONE COUNTY HOSPITAL AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.