Jolimar Summit Recovery Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JOLIMAR SUMMIT RECOVERY CENTER, INC.

Practice address

740 Jolimar TRL SE
Summit, MS 39666-7969

Phone

(601) 276-9556

Fax

(601) 276-9578

NPI assigned

May 16, 2007

Organization subpart

No

Name

John M Bass, M.A., CCAP

Title

Ceo

Phone

(601) 276-9556

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407063944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 JOLIMAR TRL SE",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396667969",
            "telephone_number": "601-276-9556",
            "fax_number": "601-276-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 JOLIMAR TRL SE",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396667969",
            "telephone_number": "601-276-9556",
            "fax_number": "601-276-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIMAR SUMMIT RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-276-9556",
        "authorized_official_credential": "M.A., CCAP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Hinds Comprehensive Health
• Cortez Jackson
• Jennifer D Gholson MD, LLC
• Anna Johnson
• Myisha Johnson
• Ellen Jordan
• Joe Keys
• Kenny King, RPH
• Kelly Langford
• Lauren Langham, CCC-SLP

• All providers in Summit, MS
• Substance Abuse Rehabilitation Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.