Holmes County Long Term Care Center - Durant
Organization Active NPI Skilled Nursing Facility · Durant, MS
NPI 1295810901 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1295810901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 652 (MS)
- Legal business name
- HOLMES COUNTY LONG TERM CARE CENTER - DURANT
- Practice address
- 15481 Bowling Green Rd
Durant, MS 39063-3565 - Phone
- (662) 834-1321
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. William L Kennedy
- Title
- Director of Patient Financial Servi
- Phone
- (601) 984-4680
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Sigurds O Krolls MD
Locations
15481 Bowling Green Rd
Durant, MS 39063
Phone (662) 653-4106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 652 | MS | Yes |
Addresses
Primary practice location
15481 Bowling Green Rd
Durant, MS 39063-3565
Mailing address
15481 Bowling Green Rd
Durant, MS 39063-3565
Phone (662) 834-1321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220267 | Medicaid | MS |
Other names
- Holmes County Long Term Care Center - Durant
Other providers in Durant, MS
- Durant Public School District
- James Myers Ferguson
- Beverly Forrest-Butts
- Ronnie Gladney
- Glover Primary Care Clinic
- Horace E. Glover Medical Services
- Sharon B Lofton
- Mallory Community Health
- Mallory Community Health
- Patients Choice Medical Center of Humphreys County, LLC
All providers in Durant, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.