NPIMap

Organization Active NPI

Quitman Community Hospital

Doing business as Quitman Family & Specialty Clinic

  • Clinic/Center
  • Marks, MS
National Provider Identifier
1346973625
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUITMAN COMMUNITY HOSPITAL
Doing business as
Quitman Family & Specialty Clinic
Practice address
340 Getwell St
Marks, MS 38646-9785
Phone
(662) 388-0700
Fax
(662) 388-0707
NPI assigned
Jul 5, 2022
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
QUITMAN COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Barbara Conway
Title
Credentialing
Phone
(662) 357-3883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

340 Getwell St
Marks, MS 38646-9785

Mailing address

340 Getwell St
Marks, MS 38646-9785
Phone (662) 388-0700

Other names 1

  • Quitman Family & Specialty Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107001041 MS Part B Supplier - Clinic/Group Practice 7012306830 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marks, MS

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Quitman Community Hospital6 organizations share this tax ID, including this one
Part of
Quitman Community Hospital

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1346973625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 GETWELL ST",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386469785",
            "telephone_number": "662-388-0700",
            "fax_number": "662-388-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GETWELL ST",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386469785",
            "telephone_number": "662-388-0700",
            "fax_number": "662-388-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUITMAN COMMUNITY HOSPITAL",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "662-357-3883"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quitman Family & Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marks, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.