NPIMap

Organization Active NPI

Franklin County Memorial Hospital Dba FC Sports and Therapy Center

Doing business as FC Sports and Therapy Center

  • Rehabilitation Clinic/Center
  • Meadville, MS
National Provider Identifier
1518400191
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FRANKLIN COUNTY MEMORIAL HOSPITAL DBA FC SPORTS AND THERAPY CENTER
Doing business as
FC Sports and Therapy Center
Practice address
248 B Main St W
Meadville, MS 39653
Phone
(601) 384-8179
NPI assigned
Nov 30, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANKLIN COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Mike Boleware
Title
Administrator
Phone
(601) 384-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

248 B Main St W
Meadville, MS 39653

Mailing address

PO Box 744
Meadville, MS 39653-0744
Phone (601) 384-8179

Other names 1

  • FC Sports and Therapy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin County Memorial Hospital6 organizations share this tax ID, including this one
Part of
Franklin County Memorial Hospital

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1518400191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396530744",
            "telephone_number": "601-384-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 B MAIN ST W",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "39653",
            "telephone_number": "601-384-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN COUNTY MEMORIAL HOSPITAL DBA FC SPORTS AND THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BOLEWARE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-384-8126"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FC Sports and Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.