Madison County General Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MADISON COUNTY GENERAL HOSPITAL

Doing business as

Madison County Nursing Home

Practice address

1421 E Peace St
Canton, MS 39046-4938

Phone

(601) 855-5771

Fax

(601) 855-5781

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By 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

Daniel Logan

Title

Managaer

Phone

(601) 855-5771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison County Nursing Home Doing business as

Tax ID family

Madison County General Hospital2 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.

• Madison County Nursing Home

  • Skilled Nursing Facility
  • Canton, MS
  • NPI 1750431391
  NPD tax ID

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255547618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464938",
            "telephone_number": "601-855-5771",
            "fax_number": "601-855-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464938",
            "telephone_number": "601-855-5771",
            "fax_number": "601-855-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGAER",
        "authorized_official_telephone_number": "601-855-5771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9016161",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexia Lucious
• Lindsey Akers Lynch
• Nicole M Mack
• Madison Ambulatory Surgery Center, LLC
• Madison County Citizens Services Agency
• Madison County Nursing Home
• Madison Emergency Group LLC
• Madison Hma (Patients Choice Senior Care of Madison County)
• Madison Hma LLC
• Madison Hma LLC (Merit Health Madison)

• Skilled Nursing Facility in Canton, MS
• Providers in Canton, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.