NPIMap

Organization Active NPI

Cotton Plant Clinic

  • Rural Health Clinic/Center
  • Blue Mountain, MS
National Provider Identifier
1447596325
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
R819565 Issued in MS
Legal business name
COTTON PLANT CLINIC
Practice address
100 County Road 714
Blue Mountain, MS 38610-9743
Phone
(662) 538-4111
Fax
(662) 538-4128
NPI assigned
Dec 20, 2012
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Paula J Decanter, CFNPNPI 1750351540
Title
Owner
Phone
(662) 538-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X R819565 MS Primary

Addresses

Primary practice location

100 County Road 714
Blue Mountain, MS 38610-9743

Mailing address

100 County Road 714
Blue Mountain, MS 38610-9743
Phone (662) 538-4111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1447596325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD 714",
            "city": "BLUE MOUNTAIN",
            "state": "MS",
            "postal_code": "386109743",
            "telephone_number": "662-538-4111",
            "fax_number": "662-538-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD 714",
            "city": "BLUE MOUNTAIN",
            "state": "MS",
            "postal_code": "386109743",
            "telephone_number": "662-538-4111",
            "fax_number": "662-538-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON PLANT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DECANTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-538-4111",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "R819565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Mountain, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.