Quitman Community Hospital

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

QUITMAN COMMUNITY HOSPITAL

Practice address

1207 Broadway S
Shelby, MS 38774

Phone

(662) 357-3883

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Barbara Conway

Title

Director of Finance

Phone

(662) 357-3883

Specialties & licenses 1

Addresses

Other names 1

• Shelby Family and Specialty Clinic Doing business as

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1629797808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "387740167",
            "telephone_number": "662-388-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 BROADWAY S",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "38774",
            "telephone_number": "662-357-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUITMAN COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "662-357-3883"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Family and Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Family and Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharda Johnson
• Making Moves in the Community, Incorporated
• Mercy Hospice and Palliative Care, Incorporated
• Ms Shelby, LLC
• Pensacola Health Trust Inc
• Olivia Romito, OTR/L
• Shelby Drug Co Inc Hwy 61 South
• Spann Senses, LLC
• Vikki Y. Spann, PH.D., SLP-CCC
• Sherica Anshon Willilams-Reed, CCC-SLP

• All providers in Shelby, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.