Organization Active NPI

360Inc.

  • Community/Behavioral Health Agency
  • Byhalia, MS
National Provider Identifier
1235738618
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
360INC.
Practice address
8547 Highway 178
Byhalia, MS 38611-9670
Phone
(901) 275-1452
NPI assigned
Oct 18, 2020
Last updated
Oct 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Authorized official

Name
Mr. Kai Derek Dowell
Title
Site Director
Phone
(901) 275-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8547 Highway 178
Byhalia, MS 38611-9670

Mailing address

27 Dudley CV
Byhalia, MS 38611-6884
Phone (662) 838-2142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1235738618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DUDLEY CV",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386116884",
            "telephone_number": "662-838-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8547 HIGHWAY 178",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386119670",
            "telephone_number": "901-275-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "901-275-1452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byhalia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.