NPIMap

Organization Active NPI

King's Daughters Medical Center

  • Ambulance
  • Brookhaven, MS
National Provider Identifier
1275664179
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
KING'S DAUGHTERS MEDICAL CENTER
Practice address
427 Highway 51 N
Brookhaven, MS 39601-2350
Phone
(601) 833-6011
Fax
(601) 833-8742
NPI assigned
Mar 9, 2007
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Scott Christensen
Title
Ceo
Phone
(601) 835-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

427 Highway 51 N
Brookhaven, MS 39601-2350

Mailing address

PO Box 5440
Brookhaven, MS 39603-5440
Phone (601) 833-6011

Other identifiers 1

IdentifierTypeStateIssuer
00050215MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Kings Daughters Hosp-an11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1275664179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5440",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396035440",
            "telephone_number": "601-833-6011",
            "fax_number": "601-833-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012350",
            "telephone_number": "601-833-6011",
            "fax_number": "601-833-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S DAUGHTERS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-835-9488"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00050215",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.