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Simpson Community Healthcare, Inc.

Organization Active NPI Critical Care Medicine (Anesthesiology) Physician · Mendenhall, MS

NPI 1629272000 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1629272000
Entity type
Organization (NPI type 2)
Primary specialty
Critical Care Medicine (Anesthesiology) Physician 207LC0200X
Legal business name
SIMPSON COMMUNITY HEALTHCARE, INC.
Practice address
1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Phone
(601) 847-7130
Fax
(601) 847-7104
NPI assigned
Jun 12, 2007
Organization subpart
No

Authorized official

Name
Shelly G Riley
Title
Cco Business Office Director
Phone
(601) 847-7130

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Simpson Community Hlthcare (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207LC0200X Yes

Addresses

Primary practice location

1842 Simpson Highway 149
Mendenhall, MS 39114-3438

Mailing address

1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Phone (601) 847-7130

Other identifiers

IdentifierTypeStateIssuer
9013625MedicaidMS

Other names

  • SIMPSON COMMUNITY HEALTHCARE, INC. CRNA Doing business as

Other providers in Mendenhall, MS

All providers in Mendenhall, MS · Critical Care Medicine (Anesthesiology) Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.