Southern Health Corp of Houston Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

SOUTHERN HEALTH CORP OF HOUSTON INC

Doing business as

Trace Regional Hospital

Practice address

1002 E Madison St
Houston, MS 38851-2428

Phone

(662) 456-3700

Fax

(662) 456-1159

NPI assigned

Nov 3, 2006

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN HEALTH CORP OF HOUSTON INCAs reported in NPPES

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

Authorized official

Name

Sheila Brockman

Title

Ceo

Phone

(662) 456-3700

Specialties & licenses 1

Addresses

Other names 1

• Trace Regional Hospital Doing business as

Part of

Trace Regional Surgery

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southern Health Corp of Houston, Inc.

  dba Trace Regional Hospital

  • General Acute Care Hospital
  • Houston, MS
  • NPI 1366465502

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1306925102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512428",
            "telephone_number": "662-456-3700",
            "fax_number": "662-456-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512428",
            "telephone_number": "662-456-3700",
            "fax_number": "662-456-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH CORP OF HOUSTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN HEALTH CORP OF HOUSTON INC",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-456-3700"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trace Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J. Michael Rhyne, D.M.D.
• Brandon Rimmer, DPT
• Rutherford Chiropractic Neurology Center, PLLC
• Joseph Lee Rutherford, DC
• Deborah Smith, PHARMD
• Southern Health Corp of Houston Inc (Trace Regional Hospital)
• Southern Health Corp of Houston Inc (Floy Dyer Manor)
• Southern Health Corp of Houston, Inc. (Trace Regional Hospital)
• Southern Health Corp. of Houston, Inc (Family Medical Clinic of Houston)
• Southern Health Corp. of Houston, Inc (Trace Regional Hospital)

• Medicare Defined Swing Bed Hospital Unit in Houston, MS
• Providers in Houston, MS by specialty
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.