Organization Active NPI

Natchez Community Hospital LLC

Doing business as Natchez Community Hospital

  • General Acute Care Hospital
  • Natchez, MS
National Provider Identifier
1619922283
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
12271 Issued in MS
Legal business name
NATCHEZ COMMUNITY HOSPITAL LLC
Doing business as
Natchez Community Hospital
Practice address
129 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone
(601) 445-6205
Fax
(601) 445-6233
NPI assigned
May 23, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Laurie Holtsford
Title
Authorized Official
Phone
(615) 465-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
General Acute Care Hospital 282N00000X 12271 MS Primary

Addresses

Primary practice location

129 Jefferson Davis Blvd
Natchez, MS 39120-5103

Mailing address

129 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone (601) 445-6205

Other identifiers 4

IdentifierTypeStateIssuer
0022159MedicaidMS
20639OtherMSBLUE CROSS MS
86220OtherLABLUE CROSS LA
1762130MedicaidLA

Other names 1

  • Natchez Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619922283. Details of each certification follow.

Hospital certification: CCN 250122

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERIT HEALTH NATCHEZ-COMMUNITY CAMPUS
Certification status
Terminated Voluntary: merger or closure, Nov 12, 2015
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 1973
Last certification
Dec 9, 1993
Beds
101
Ownership / control type
Private (for profit)
Facility address
129 Jefferson Davis Blvd Box 1203
Natchez, MS 39120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1619922283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205103",
            "telephone_number": "601-445-6205",
            "fax_number": "601-445-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205103",
            "telephone_number": "601-445-6205",
            "fax_number": "601-445-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "12271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022159",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MS",
            "identifier": "20639",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LA",
            "identifier": "86220",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchez Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.