Kilmichael Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

21-183 Issued in MS

Legal business name

KILMICHAEL HOSPITAL

Practice address

301 Lamar Ave
Kilmichael, MS 39747

Phone

(662) 262-4311

Fax

(662) 262-5586

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Dexter Johnson

Title

Administrator

Phone

(662) 262-4311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kilmichael Hospital Swingbed Other name

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487863692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "KILMICHAEL",
            "state": "MS",
            "postal_code": "397470188",
            "telephone_number": "662-262-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAMAR AVE",
            "city": "KILMICHAEL",
            "state": "MS",
            "postal_code": "39747",
            "telephone_number": "662-262-4311",
            "fax_number": "662-262-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILMICHAEL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "DEXTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-262-4311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "21-183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029147",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kilmichael Hospital Swingbed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greenwood Leflore Hospital
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• Rachel Montgomery
• Lajoyce Stewart, FNP
• Tyler Holmes Memorial Hospital
• Webster Health Services, Inc.

• All providers in Kilmichael, MS
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.