NPIMap

Organization Active NPI

Quitman Community Hospital

  • Critical Access Hospital
  • Marks, MS
National Provider Identifier
1063177228
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
QUITMAN COMMUNITY HOSPITAL
Practice address
340 Getwell Dr
Marks, MS 38646-3864
Phone
(662) 934-3900
NPI assigned
Nov 3, 2021
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Mr. Lester Wilkinson II
Title
Chief Financial Officer
Phone
(662) 934-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

340 Getwell Dr
Marks, MS 38646-3864

Mailing address

340 Getwell Dr
Marks, MS 38646-8608
Phone (662) 934-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211117002047 MS Part A Provider - Critical Access Hospital 7012306830 Practice locations: Marks, MS
O20220107001041 MS Part B Supplier - Clinic/Group Practice 7012306830 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: Marks, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063177228. Details of each certification follow.

Hospital certification: CCN 251339

Legal name
QUITMAN COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 28, 2021
Last certification
Dec 28, 2021
Beds
25
Ownership / control type
Local
Organization structure
LLCProprietary
Incorporated
Sep 17, 2021 in MS
Enrollment address
340 Getwell St
Marks, MS 38646-9785
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Quitman Community HospitalCCN 251339 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Quitman Community Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Quentin Whitwell Individual Corporate OfficerCeo Sep 17, 2021
Operational/Managerial ControlCeo Sep 17, 2021
Quitman Community Hospital Organization, Marks, MS Non-profit 5% Or Greater Direct Ownership Interest May 24, 2022 100%
Mejilda Spearman Individual W-2 Managing EmployeeAd; Mar 1, 2024 100%
Kirnjot Singh Individual Operational/Managerial Control Feb 13, 2026 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quitman Community Senior CareMarks, MS, CCN 25M339 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 17, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1063177228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 GETWELL DR",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386468608",
            "telephone_number": "662-934-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GETWELL DR",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386463864",
            "telephone_number": "662-934-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "662-934-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marks, MS

Sources for this page

Verify at the official NPI Registry.