South Mississippi AIDS Task Force, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTH MISSISSIPPI AIDS TASK FORCE, INC.

Practice address

2756 Fernwood Rd
Biloxi, MS 39531-3520

Phone

(228) 385-1214

Fax

(228) 385-1296

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian J. Bourn, MBA

Title

Executive Director

Phone

(228) 385-1214

Specialties & licenses 4

Addresses

Other names 1

• SMATF Other name

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1609262955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8009",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358009",
            "telephone_number": "228-385-1214",
            "fax_number": "228-385-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 FERNWOOD RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313520",
            "telephone_number": "228-385-1214",
            "fax_number": "228-385-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI AIDS TASK FORCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "BOURN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "228-385-1214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMATF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Snyder, OT
• Daci Noble Sobalvarro
• Amanda Elizabeth Sones, PTA
• Carlos J Sosa Rodriguez, M.D.
• Brittany Corrin Souder, IDMT
• South Mississippi Endodontics PA
• South Mississippi Home Health, Inc. (Deaconess Hospice)
• South Mississippi Maxillofacial Surgery Center
• South Mississippi Nephrology, PLLC
• South Shore Radiology, LLC

• Case Management Agency in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Case Management Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.