NPIMap

Organization Active NPI

Veterans Health Adminstration

  • Military Hospital
  • Pearl, MS
National Provider Identifier
1609268267
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
1512 Issued in MS
Legal business name
VETERANS HEALTH ADMINSTRATION
Practice address
947 Clubhouse Dr
Pearl, MS 39208-9528
Phone
(662) 907-0040
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mr. Kendrick Denard Bailey, LPC-S, NCC
Title
Licensed Professional Counselor
Phone
(662) 907-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 1512 MS Primary

Addresses

Primary practice location

947 Clubhouse Dr
Pearl, MS 39208-9528

Mailing address

947 Clubhouse Dr
Pearl, MS 39208-9528
Phone (662) 907-0040

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1609268267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089528",
            "telephone_number": "662-907-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089528",
            "telephone_number": "662-907-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HEALTH ADMINSTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "DENARD",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "662-907-0040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MS",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.