NPIMap

Organization Active NPI

Hardy Wilson Memorial Hospital

  • Critical Access Hospital
  • Hazlehurst, MS
National Provider Identifier
1477876274
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11-164 Issued in MS
Legal business name
HARDY WILSON MEMORIAL HOSPITAL
Practice address
233 Magnolia St
Hazlehurst, MS 39083-2228
Phone
(601) 894-6211
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Ann S. Berch
Title
Cfo
Phone
(601) 894-4541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11-164 MS Primary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

233 Magnolia St
Hazlehurst, MS 39083-2228

Mailing address

233 Magnolia St
Hazlehurst, MS 39083-2228
Phone (601) 894-6211

National Provider Directory

National Provider Directory
Tax ID family
Copiah County Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

27190 Highway 28
Ste 1
Hazlehurst, MS 39083

Practitioners & affiliated clinicians

Practitioners 11

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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1477876274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MAGNOLIA ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832228",
            "telephone_number": "601-894-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAGNOLIA ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832228",
            "telephone_number": "601-894-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY WILSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "BERCH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-894-4541"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "11-164",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.