NPIMap

Organization Active NPI

North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashland, MS
National Provider Identifier
1073347084
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice address
15931 Boundary Drive
Ashland, MS 38603
Phone
(662) 502-3149
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
William Hardee Stone
Title
Ceo
Phone
(662) 502-3149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

15931 Boundary Drive
Ashland, MS 38603

Mailing address

PO Box 92
Ashland, MS 38603-0092
Phone (662) 502-3149

Other names 1

  • NMPHC Multi-specialty Telehealth Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515001336 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 Practice locations: Ashland, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073347084. Details of each certification follow.

Federally qualified health center certification: CCN 251167

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
ASHLAND MULTISPECIALTY TELEHEALTH AND ADMINISTRATION BUILDING
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 3, 2025
Last certification
Jun 3, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
15931 Boundary Dr
Ashland, MS 38603-7740

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
North Benton County HLT16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
North Mississippi Primary Health Care Inc Organization, Ashland, MS Non-profit Operational/Managerial Control May 1, 1985 100%
William H Stone Individual Corporate OfficerCeo Jul 24, 2023
W-2 Managing EmployeeAd; Jul 24, 2023

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Corinth Community Health CenterCorinth, MS, CCN 251937 Federally qualified health center Other Sep 1, 2004
Ripley Health Care AssociatesRipley, MS, CCN 251867 Federally qualified health center Operational/Managerial Control May 1, 1985
Booneville Community Health CenterBooneville, MS, CCN 251877 Federally qualified health center Operational/Managerial Control Jan 4, 2001
Walnut Medical CenterWalnut, MS, CCN 251853 Federally qualified health center Operational/Managerial Control (100%) Sep 14, 1995
New Albany Health Care AssociatesNew Albany, MS, CCN 251042 Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and WellnessOxford, MS, CCN 251116 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly SpringsHolly Springs, MS, CCN 251168 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1073347084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386030092",
            "telephone_number": "662-502-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15931 BOUNDARY DRIVE",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "38603",
            "telephone_number": "662-502-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARDEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-502-3149"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMPHC Multi-specialty Telehealth Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, MS

Sources for this page

Verify at the official NPI Registry.