NPIMap

Organization Active NPI

Neshoba County General Hospital

Doing business as Philadelphia School Clinic

  • Clinic/Center
  • Philadelphia, MS
National Provider Identifier
1023620135
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Doing business as
Philadelphia School Clinic
Practice address
406 Stribling St
Philadelphia, MS 39350-3344
Phone
(601) 656-2672
NPI assigned
Aug 19, 2020
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NESHOBA COUNTY GENERAL HOSPITAL-NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Mr. Scott Hester McNair
Title
Cfo
Phone
(601) 663-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

406 Stribling St
Philadelphia, MS 39350-3344

Mailing address

1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1200

Other names 1

  • Philadelphia School Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000618 MS Part B Supplier - Clinic/Group Practice 6204738289 Receives reassigned benefits from 53 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, MS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2191809Neshoba Co General Dba Philadelphia School Clinic406 Stribling St, Philadelphia, MS 39350Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Neshoba Co Gen Hosp CRN16 organizations share this tax ID, including this one
Part of
Neshoba Co Gen Hosp CRN

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1023620135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 STRIBLING ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503344",
            "telephone_number": "601-656-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHOBA COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NESHOBA COUNTY GENERAL HOSPITAL-NURSING HOME",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HESTER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-663-1233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia School Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philadelphia School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.