NPIMap

Organization Active NPI

South Pike Hospital Association, Inc.

Doing business as Beacham Memorial Hospital

  • Rural Acute Care Hospital
  • Magnolia, MS
National Provider Identifier
1417969700
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
16-275 Issued in MS
Legal business name
SOUTH PIKE HOSPITAL ASSOCIATION, INC.
Doing business as
Beacham Memorial Hospital
Practice address
205 N Cherry St
Magnolia, MS 39652-2819
Phone
(601) 783-2353
Fax
(601) 783-9003
NPI assigned
Aug 13, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Mr. Guy C Geller
Title
Administrator/Ceo
Phone
(601) 783-2353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 16-275 MS
Rural Acute Care Hospital 282NR1301X 16-275 MS Primary

Addresses

Primary practice location

205 N Cherry St
Magnolia, MS 39652-2819

Mailing address

PO Box 351
Magnolia, MS 39652-0351
Phone (601) 783-2353

Other identifiers 3

IdentifierTypeStateIssuer
00020043MedicaidMS
000020043OtherMSBLUE CROSS
000080027OtherMSBLUE CROSS

Other names 1

  • Beacham Memorial Hospital Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1417969700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396520351",
            "telephone_number": "601-783-2353",
            "fax_number": "601-783-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N CHERRY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522819",
            "telephone_number": "601-783-2353",
            "fax_number": "601-783-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PIKE HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "601-783-2353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "16-275",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MS",
            "license": "16-275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020043",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000020043",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000080027",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacham Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.