Southwest Health Agency for Rural People, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC

Doing business as

Sharp Famity Care Center

Practice address

501 Eagle Day Ave
Columbia, MS 39429-3605

Phone

(601) 731-9108

Fax

(601) 731-9190

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By 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. Benjamin Pettus

Title

Ceo

Phone

(601) 876-4926

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sharp Famity Care Center Doing business as

Tax ID family

Sharp Famity Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southwest Health Agency for Rural People, Inc.

  dba SHARP, Inc

  • Community Health Clinic/Center
  • Tylertown, MS
  • NPI 1861515587
  NPD tax ID

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1144407420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394290256",
            "telephone_number": "601-731-9108",
            "fax_number": "601-731-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EAGLE DAY AVE",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293605",
            "telephone_number": "601-731-9108",
            "fax_number": "601-731-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PETTUS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-876-4926",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015059",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "231869",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Famity Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidria Smith, RN
• Oscar A Smith, OD
• Song Health & Rehab of Columbia, LLC
• Southern Bone & Joint Specialists, PA
• Southern Touch Homemaker & Comfort Agency LLC
• Harry Lewis Speights Jr., PHARMACIST
• Mayci McCloud Speights, NP
• Christa Staples, CPNP, FNP-C, NNP
• Dawna Stringer, IDD WAIVER SERVICES
• Makayla Leann Stringer

• Community Health Clinic/Center in Columbia, MS
• Providers in Columbia, MS by specialty
• Community Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.