NPIMap

Organization Active NPI

Pontotoc Health Services, Inc.

Doing business as Pontotoc Hospital ER Phys

  • Emergency Care Clinic/Center
  • Pontotoc, MS
National Provider Identifier
1609979053
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
16-091 Issued in MS
Legal business name
PONTOTOC HEALTH SERVICES, INC.
Doing business as
Pontotoc Hospital ER Phys
Practice address
176 S Main St
Pontotoc, MS 38863-3311
Phone
(662) 488-7640
Fax
(662) 488-7675
NPI assigned
Sep 7, 2006
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PONTOTOC HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Mr. Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 16-091 MS Primary

Addresses

Primary practice location

176 S Main St
Pontotoc, MS 38863-3311

Mailing address

176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 488-7640

Other names 1

  • Pontotoc Hospital ER Phys Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pontotoc Health Services11 organizations share this tax ID, including this one
Part of
Pontotoc Health Services

Other organizations with this tax ID 10

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1609979053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTOTOC HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONTOTOC HEALTH SERVICES, INC.",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MS",
            "license": "16-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontotoc Hospital ER Phys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.