NPIMap

Organization Active NPI

WMC Emergency Services LLC

  • General Acute Care Hospital
  • Louisville, MS
National Provider Identifier
1336786235
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WMC EMERGENCY SERVICES LLC
Practice address
17550 E Main St
Louisville, MS 39339-2772
Phone
(662) 773-6211
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mr. James Woodward
Title
Controller
Phone
(662) 446-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

17550 E Main St
Louisville, MS 39339-2772

Mailing address

PO Box 967
Louisville, MS 39339-0967
Phone (662) 446-1072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218000805 MS Part B Supplier - Clinic/Group Practice 5698102465 Receives reassigned benefits from 20 practitioners
Practice locations: Louisville, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1336786235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390967",
            "telephone_number": "662-446-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392772",
            "telephone_number": "662-773-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC EMERGENCY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "662-446-1072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.