Humphreys County Memorial Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

21169 Issued in MS

Legal business name

HUMPHREYS COUNTY MEMORIAL HOSPITAL

Practice address

500 C C Rd
Belzoni, MS 39038-3806

Phone

(662) 247-3831

Fax

(662) 247-4114

NPI assigned

Mar 28, 2007

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ray Shoemaker

Title

Ceo

Phone

(662) 247-3831

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Katrina Dryer, NP

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1124068952
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1356460869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 C C RD",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383806",
            "telephone_number": "662-247-3831",
            "fax_number": "662-247-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 C C RD",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383806",
            "telephone_number": "662-247-3831",
            "fax_number": "662-247-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREYS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-247-3831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "21169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakenya Mims Horton
• House Calls LLC
• Jeffrey B Hughes, PA
• Humphreys Community Care Center LLC (Humphreys County Nursing Center)
• Humphreys County Memorial Hospital
• Humphreys County Memorial Hospital
• Humphreys County Memorial Hospital
• Humphreys County Memorial Hospital (Church Street Clinic)
• Indianola Sleep Clinic, LLC (Rural Sleep Diagnostics)
• Lee L James, P.T.

• Critical Access Hospital in Belzoni, MS
• Providers in Belzoni, MS by specialty
• Critical Access Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.