NPIMap

Organization Active NPI

Calhoun Health Services

  • General Acute Care Hospital
  • Calhoun City, MS
National Provider Identifier
1376719302
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11-259 Issued in MS
Legal business name
CALHOUN HEALTH SERVICES
Practice address
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone
(662) 628-6611
Fax
(662) 628-6300
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Mandy Suber, CPA
Title
Director of Fiscal Services
Phone
(662) 628-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11-259 MS Primary

Addresses

Primary practice location

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690

Mailing address

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Other identifiers 1

IdentifierTypeStateIssuer
00029213MedicaidMS

National Provider Directory

National Provider Directory

Locations

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1376719302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "662-628-6611",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11-259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029213",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.