Kilmichael Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

21183 Issued in MS

Legal business name

KILMICHAEL HOSPITAL

Practice address

301 Lamar Avenue
Kilmichael, MS 39747-0188

Phone

(662) 262-4311

Fax

(662) 262-5586

NPI assigned

Nov 30, 2005

Last updated

Aug 24, 2007By 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. Calvin Johnson

Title

Administrator

Phone

(662) 262-4311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1144204561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "address_2": "301 LAMAR AVENUE",
            "city": "KILMICHAEL",
            "state": "MS",
            "postal_code": "397470188",
            "telephone_number": "662-262-4311",
            "fax_number": "662-262-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAMAR AVENUE",
            "city": "KILMICHAEL",
            "state": "MS",
            "postal_code": "397470188",
            "telephone_number": "662-262-4311",
            "fax_number": "662-262-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILMICHAEL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-262-4311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "21183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackie P Greenlee, BS PHARMACY
• Greenwood Leflore Hospital (Kilmichael Clinic)
• Wade Henson, NP
• Kilmichael Clinic
• Kilmichael Drugs Inc (Kilmichael Drugs)
• Kilmichael Hospital
• Kilmichael Hospital (Kilmichael Hospital Professional Group)
• Rachel Montgomery
• Lajoyce Stewart, FNP
• Tyler Holmes Memorial Hospital (Tyler Holmes Kilmichael Clinic)

• General Acute Care Hospital in Kilmichael, MS
• Providers in Kilmichael, 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 Aug 24, 2007; 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.