Providence PCC of Batesville

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

879 Issued in MS

Legal business name

PROVIDENCE PCC OF BATESVILLE

Practice address

640 Keating Rd
Batesville, MS 38606-8301

Phone

(662) 563-2345

NPI assigned

Nov 18, 2010

Last updated

Nov 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat R Gunter

Title

Director

Phone

(662) 563-2345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1639471055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1632",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386064132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 KEATING RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068301",
            "telephone_number": "662-563-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PCC OF BATESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-563-2345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Quality Medical Service, Inc
• R C & P R Purohit PA
• Amanda Raby, LMSW
• Robert Ragsdale III, ATC
• Charles James Ralph, MS, LAT, ATC

• Assisted Living Facility in Batesville, MS
• Providers in Batesville, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.