NPIMap

Organization Active NPI

Franklin County Memorial Hospital

  • Clinic/Center
  • Meadville, MS
National Provider Identifier
1295866168
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
I8292 Issued in MS
Legal business name
FRANKLIN COUNTY MEMORIAL HOSPITAL
Practice address
115B Highway 556
Meadville, MS 39653
Phone
(601) 384-2396
Fax
(601) 384-3648
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Aleda Jean Dillon
Title
Business Office/Rev Cycle Director
Phone
(601) 384-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X I8292 MS Primary

Addresses

Primary practice location

115B Highway 556
Meadville, MS 39653

Mailing address

PO Box 428
Meadville, MS 39653-0428
Phone (601) 384-2396

Other identifiers 1

IdentifierTypeStateIssuer
09221795MedicaidMS

Other names 1

  • MEADVILLE MEDICAL CLINIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000396 MS Part B Supplier - Clinic/Group Practice 2466355243 Receives reassigned benefits from 47 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bude, MS; Meadville, MS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Franklin Co Memorial Ho6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1290470400000",
    "number": "1295866168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396530428",
            "telephone_number": "601-384-2396",
            "fax_number": "601-384-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115B HIGHWAY 556",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "39653",
            "telephone_number": "601-384-2396",
            "fax_number": "601-384-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ALEDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS OFFICE/REV CYCLE DIRECTOR",
        "authorized_official_telephone_number": "601-384-8112"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "I8292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09221795",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADVILLE MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meadville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.