Pearl River County Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

21087 Issued in MS

Legal business name

PEARL RIVER COUNTY HOSPITAL

Practice address

305 West Moody Street
Poplarville, MS 39470

Phone

(601) 795-4543

Fax

(601) 795-4238

NPI assigned

Feb 5, 2007

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Boleware

Title

Administrator

Phone

(601) 795-4543

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Mohammed S Akram, MD, MHA

  • Internal Medicine Physician
  • Decatur, IL
  • NPI 1619921806
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1053450320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "601-795-4543",
            "fax_number": "601-795-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WEST MOODY STREET",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "601-795-4543",
            "fax_number": "601-795-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "BOLEWARE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-795-4543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "21087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220297",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000020560",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Anthony Moran Jr., DO
• Kaci L Morris, DPT
• Kelly M Mullen, REGISTERED NURSE
• Mustard Seed Counseling Center, LLC
• Nursing Home Psychological Services, LLC
• Pearl River County Hospital
• Pearl River County Hospital Emergency Department
• Pearl River Drug Co.
• Kimberly Philyaw, NP-C
• Picayune Eye Clinic (Poplarville Eye Clinic)

• General Acute Care Hospital in Poplarville, MS
• Providers in Poplarville, MS by specialty
• General Acute Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.