NPIMap

Organization Active NPI

Singing River Health System

Doing business as Vancleave Medical Center

  • Rural Health Clinic/Center
  • Vancleave, MS
National Provider Identifier
1255728838
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SINGING RIVER HEALTH SYSTEM
Doing business as
Vancleave Medical Center
Practice address
11700 Highway 57
Vancleave, MS 39565-8309
Phone
(228) 826-1482
NPI assigned
Apr 21, 2015
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Jason McNeil
Title
Cfo
Phone
(228) 497-7597

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

11700 Highway 57
Vancleave, MS 39565-8309

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-8874

Other names 1

  • Vancleave Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150619001991 MS Part A Provider - Rural Health Clinic 3870405194 Practice locations: Vancleave, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255728838. Details of each certification follow.

Rural health clinic certification: CCN 258613

Legal name
SINGING RIVER HEALTH SYSTEM
Doing business as
VANCLEAVE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 24, 2015
Last certification
Sep 8, 2022
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
11700 Highway 57
Vancleave, MS 39565-8309
Related CCNs
250040

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Singing River Hosp16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tonya Latady Individual W-2 Managing EmployeeManager Financial Incentives Sep 1, 2014
Jason ` McNeil Individual Corporate OfficerChief Financial Officer Jul 2, 2021
Operational/Managerial ControlChief Financial Officer Jul 2, 2021

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Singing River Health SystemPascagoula, MS, CCN 250040 Hospital Operational/Managerial Control Sep 1, 1998
Singing River GulfportGulfport, MS, CCN 250123 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 16, 2020
Singing River Skilled Nursing FacilityPascagoula, MS, CCN 255346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 23, 2017
Sep 23, 2017
Hospice of LightOcean Springs, MS, CCN 251518 Hospice Operational/Managerial Control Sep 1, 1998
East Central Medical CenterHurley, MS, CCN 258543 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 1, 2007

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1255728838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 HIGHWAY 57",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395658309",
            "telephone_number": "228-826-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "228-497-7597"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancleave Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancleave, MS

Sources for this page

Verify at the official NPI Registry.