Magee Benevolent Association D/B/a Magee General Hospital
Organization Active NPI Nurse Practitioner · Magee, MS
NPI 1487819934 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1487819934
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R678562 (MS)
- Legal business name
- MAGEE BENEVOLENT ASSOCIATION D/B/A MAGEE GENERAL HOSPITAL
- Practice address
- 376A Simpson Highway 149
Magee, MS 39111-3409 - Phone
- (601) 849-5321
- Fax
- (601) 849-7205
- NPI assigned
- Jul 24, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- MAGEE BENEVOLENT ASSN D/B/A MAGEE GENERAL HOSPITAL
Authorized official
- Name
- Mrs. Althea H Crumpton
- Title
- C E O
- Phone
- (601) 849-5070
Other NPIs on the same Medicare enrollment 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000400 | MS | Part B Supplier - Clinic/Group Practice | 3678466463 |
Receives reassigned benefits from 87 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Magee, MS; Mize, MS; Raleigh, MS; Taylorsville, MS |
National Provider Directory
- Part of
- Magee Benevolent Association
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/magee-b67ced6e
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | PA00024 | MS | |
| Nurse Practitioner |
363L00000X | R678562 | MS | Yes |
Addresses
Primary practice location
376A Simpson Highway 149
Magee, MS 39111-3409
Mailing address
376A Simpson Highway 149
Magee, MS 39111-3409
Phone (601) 849-5321
Other names
- MGH CLINIC
Other providers in Magee, MS
- Magee Benevolent Association
- Magee Benevolent Association
- Magee Benevolent Association
- Magee Benevolent Association
- Magee Benevolent Association
- Magee Community Care Center LLC
- Magee Family Footcare PLLC
- Jack R Magee Jr.
- Magnolia Smiles of Magee PLLC
- Donna Elizabeth Martin
All providers in Magee, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.