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Neshoba County General Hospital

Organization Active NPI Clinic/Center · Philadelphia, MS

NPI 1023620135 · NPPES record last updated Oct 20, 2021

Key facts

NPI
1023620135
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Practice address
406 Stribling St
Philadelphia, MS 39350-3344
Phone
(601) 656-2672
NPI assigned
Aug 19, 2020
Organization subpart
Yes
Parent organization (as reported)
NESHOBA COUNTY GENERAL HOSPITAL-NURSING HOME

Authorized official

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

Other NPIs on the same Medicare enrollment 4

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

Corporate family (same tax ID) 15

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

Practitioners 2

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

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

National Provider Directory

Tax ID family
Ms Neurodiagnostic Lab (16 organizations share this tax ID)
Part of
Ms Neurodiagnostic Lab

Locations

1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

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

  • Philadelphia School Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2021.

{
    "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

All providers in Philadelphia, MS · Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.