NPIMap

Organization Active NPI

Quitman County Hospital, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Marks, MS
National Provider Identifier
1043230923
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
16-291 Issued in MS
Legal business name
QUITMAN COUNTY HOSPITAL, LLC
Practice address
340 Getwell St
Marks, MS 38646-9785
Phone
(662) 326-8031
Fax
(662) 326-8478
NPI assigned
Jul 20, 2006
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Mrs. Jane G Moore
Title
Fiscal Services Director
Phone
(662) 326-8031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 16-291 MS Primary
Critical Access Hospital 282NC0060X 16291 MS

Addresses

Primary practice location

340 Getwell St
Marks, MS 38646-9785

Mailing address

340 Getwell St
Marks, MS 38646-9785
Phone (662) 326-8031

Other identifiers 2

IdentifierTypeStateIssuer
000080725OtherMSBLUE CROSS/BLUE SHIELD
05854578MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1043230923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 GETWELL ST",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386469785",
            "telephone_number": "662-326-8031",
            "fax_number": "662-326-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GETWELL ST",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386469785",
            "telephone_number": "662-326-8031",
            "fax_number": "662-326-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN COUNTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FISCAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "662-326-8031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "16-291",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "16291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000080725",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05854578",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marks, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.