Organization Active NPI

North Mississippi Hematology & Oncology Assoc. LTD

  • Durable Medical Equipment & Medical Supplies
  • Corinth, MS
National Provider Identifier
1407911043
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
08548 Issued in MS
Legal business name
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOC. LTD
Practice address
201 Alcorn Dr
Corinth, MS 38834-8400
Phone
(662) 286-3277
Fax
(662) 286-2056
NPI assigned
Dec 26, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mrs. Denise C Walters
Title
Office Manager
Phone
(662) 844-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 08548 MS Primary

Addresses

Primary practice location

201 Alcorn Dr
Corinth, MS 38834-8400

Mailing address

201 Alcorn Dr
Corinth, MS 38834-8400
Phone (662) 286-3277

Other identifiers 1

IdentifierTypeStateIssuer
09013493MedicaidMS

National Provider Directory

National Provider Directory

Locations

201 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-3277

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1407911043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348400",
            "telephone_number": "662-286-3277",
            "fax_number": "662-286-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348400",
            "telephone_number": "662-286-3277",
            "fax_number": "662-286-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOC. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-844-9166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "08548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013493",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.