NPIMap

Organization Active NPI

Singing River Hospital System

  • Family Medicine Physician
  • Diberville, MS
National Provider Identifier
1326233149
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SINGING RIVER HOSPITAL SYSTEM
Practice address
10319 Diberville Blvd
Diberville, MS 39540-2506
Phone
(228) 396-2999
NPI assigned
Sep 14, 2007
Organization subpart
Yes
Parent organization
SINGING RIVER HOSPITAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Chris Anderson
Title
Ceo
Phone
(228) 497-7908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

10319 Diberville Blvd
Diberville, MS 39540-2506

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other names 1

  • D'Iberville Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Singing River Hosp System16 organizations share this tax ID, including this one
Part of
Singing River Hosp System

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1326233149",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 DIBERVILLE BLVD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402506",
            "telephone_number": "228-396-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER HOSPITAL SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINGING RIVER HOSPITAL SYSTEM",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-497-7908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'Iberville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.