Noxubee General Critical Access Hospital
Organization Active NPI Community/Retail Pharmacy · Macon, MS
NPI 1134616113 · NPPES record last updated Apr 16, 2018
Key facts
- NPI
- 1134616113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 17020
- Legal business name
- NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
- Practice address
- 34 Hospital Road
Macon, MS 39341 - Phone
- (662) 788-4398
- Fax
- (662) 788-4399
- NPI assigned
- Apr 16, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Authorized official
- Name
- Mr. Danny H. McKay
- Title
- Administrator
- Phone
- (662) 726-4231
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Practitioners 24
-
Dorthy Renee Bester, FNP
-
Patricia L Campbell, CFNP
-
Beverly W Clark, FNP-C
-
Aamir Hashmat, M.D.
-
Amanda Nicholas Jones, CFNP-BC
-
James R Medlin, MD
-
Jesse James Parker, FNP-C
-
Naim U. Rahman, M.D.
-
Janice Noland Robertson, CFNP
-
Kelli Stewart, FNP-BC
-
Rosie Ann Wilbon, N. P.
-
Steven D Woodward, M.D.
-
Edward Frank Crocker Jr., M.D.
-
Robert A. Gannaway, M.D.
-
Sammy Elizabeth Kratzer, FNP-C
-
Kimberly Jane McKay, M.D.
-
Jason Kendell Morris, M.D.
-
Timothy McCowan, MD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Noxubee General Critical Access Hos |
Nebulizer Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190312000259 | MS | Part B Supplier - Pharmacy | 9335130798 | Practice locations: Macon, MS |
| O20190820004266 | MS | DME Supplier - Pharmacy | 9335130798 | Practice locations: Macon, MS |
National Provider Directory
- Tax ID family
- Noxubee County Nursing Home
- Part of
- Noxubee County Nursing Home
Locations
606 N Jefferson St
#480
Macon, MS 39341
Phone (662) 726-4264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17020 | Yes |
Addresses
Primary practice location
34 Hospital Road
Macon, MS 39341
Mailing address
PO Box 480
Macon, MS 39341
Phone (662) 726-4231
Other names
- Macon Primary Pharmacy
Other providers in Macon, MS
- Ms Eye Care PA
- Taylor Nanni
- Dianne J Neal
- Noxubee County Human Resources Agency
- Noxubee County Nursing Home
- Noxubee General Critical Access Hospital
- Noxubee General Critical Access Hospital
- Noxubee General Critical Access Hospital
- Noxubee General Critical Access Hospital
- Noxubee General Critical Access Hospital
All providers in Macon, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.