NPIMap

Organization Active NPI

Webster Health Services, Inc

  • Rural Health Clinic/Center
  • Calhoun City, MS
National Provider Identifier
1407302151
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
13225 Issued in MS
Legal business name
WEBSTER HEALTH SERVICES, INC
Practice address
595 East Veterans Avenue
Suite B
Calhoun City, MS 38916
Phone
(662) 628-1337
Fax
(662) 628-1346
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 13225 MS Primary

Addresses

Primary practice location

595 East Veterans Avenue
Suite B
Calhoun City, MS 38916

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-3204

Other identifiers 3

IdentifierTypeStateIssuer
007582369MedicaidMS
25-8618OtherMSMEDICARE - RURAL HEALTH
C00081OtherMSMEDICARE

Other names 1

  • Calhoun County Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001047 MS Part B Supplier - Clinic/Group Practice 6901892421 Receives reassigned benefits from 71 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Calhoun City, MS; Eupora, MS; Kilmichael, MS
O20160930000379 MS Part A Provider - Rural Health Clinic 6901892421 Practice locations: Calhoun City, MS

Rural health clinic certification: CCN 258618

Legal name
WEBSTER HEALTH SERVICES INC
Doing business as
CALHOUN COUNTY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 27, 2017
Last certification
Apr 27, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1992 in DE
Enrollment address
595 East Veterans Ave
Calhoun City, MS 38916
Related CCNs
250020

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1016514Webster Health Services, Inc Dba Calhoun County595 E Veterans Dr, Calhoun City, MS 38916ComplianceFeb 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Webster Health Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

595 E Veterans Ave
Ste B
Calhoun City, MS 38916
Phone (662) 628-1337

595 E Veterans Ave
Ste B
Calhoun City, MS 38916

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harold W Sigler Individual W-2 Managing EmployeeAdministrator Oct 27, 2014
Sandra W Dewberry Individual Corporate DirectorBoard Member Jan 1, 2013
Charles P Ferguson Individual Corporate DirectorBoard Member Jan 1, 2013
James Mason Individual Corporate DirectorBoard Member Jan 1, 2013
North Mississippi Health Services Inc Organization, Tupelo, MS Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 24, 1992 100%
Bruce J Toppin Individual Corporate OfficerSecretary Jan 1, 2013
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Michael S Spees Individual Corporate OfficerCeo and President (Home Office) Jan 1, 2013
Frances Hyde Individual Corporate DirectorBoard Member Jan 1, 2013
Michael M McCully Individual Corporate DirectorBoard Member Jan 1, 2013
Harold H Whitaker Individual Corporate DirectorChairman of the Board Jan 1, 2013

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eupora Pediatric ClinicEupora, MS, CCN 258580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1407302151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-3204",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 EAST VETERANS AVENUE",
            "address_2": "SUITE B",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "38916",
            "telephone_number": "662-628-1337",
            "fax_number": "662-628-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007582369",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RURAL HEALTH",
            "identifier": "25-8618",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C00081",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun City, MS

Sources for this page

Verify at the official NPI Registry.