NPIMap

Organization Active NPI

Webster Health Services, Inc.

Doing business as Eupora Family Medical Clinic

  • Rural Health Clinic/Center
  • Eupora, MS
National Provider Identifier
1639584352
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
13225 Issued in MS
Legal business name
WEBSTER HEALTH SERVICES, INC.
Doing business as
Eupora Family Medical Clinic
Practice address
1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone
(662) 258-7200
Fax
(662) 258-9230
NPI assigned
Jun 23, 2014
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

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
Rural Health Clinic/Center 261QR1300X 13225 MS Primary

Addresses

Primary practice location

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064

Mailing address

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone (662) 258-7200

Other identifiers 3

IdentifierTypeStateIssuer
007835269MedicaidMS
25-8596OtherMSMEDICARE RURAL HEALTH
C0081OtherMSMEDICARE NON RURAL HEALTH

Other names 1

  • Eupora Family Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001047 MS Part B Supplier - Clinic/Group Practice 6901892421 Receives reassigned benefits from 71 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Calhoun City, MS; Eupora, MS; Kilmichael, MS
O20140808001548 MS Part A Provider - Rural Health Clinic 6901892421 Practice locations: Eupora, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639584352. Details of each certification follow.

Rural health clinic certification: CCN 258596

Legal name
WEBSTER HEALTH SERVICES INC
Doing business as
EUPORA FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 4, 2015
Last certification
Mar 4, 2015
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1992 in DE
Enrollment address
1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Related CCNs
250027

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0320239Webster Health Serv Dba Eupora Family Med Clinic1301 Veterans Memorial Blvd, Eupora, MS 39744ComplianceMay 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Webster General Hospita11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

595 E Veterans Ave Ste B
Calhoun County Medical Clinic
Calhoun City, MS 38916

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harold W Sigler Individual W-2 Managing Employee Oct 26, 2014
Sandra W Dewberry Individual Corporate DirectorBoard Member Jan 1, 2015
Charles P Ferguson Individual Corporate DirectorBoard Member Jan 1, 2015
James Mason Individual Corporate DirectorBoard Member Jan 1, 2015
North Mississippi Health Services Inc Organization, Tupelo, MS Non-profit 5% Or Greater Indirect Ownership Interest Aug 24, 1992 100%
Bruce J Toppin Individual Corporate OfficerSecretary Jan 1, 2015
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Michael S Spees Individual Corporate OfficerCeo and President Home Office Jan 1, 2015
Frances Hyde Individual Corporate DirectorBoard Member Jan 1, 2015
Michael M McCully Individual Corporate DirectorBoard Member Jan 1, 2015
Harold H Whitaker Individual Corporate DirectorBoard Member Jan 1, 2015

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eupora Pediatric ClinicEupora, MS, CCN 258580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1639584352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442064",
            "telephone_number": "662-258-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442064",
            "telephone_number": "662-258-7200",
            "fax_number": "662-258-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007835269",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RURAL HEALTH",
            "identifier": "25-8596",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NON RURAL HEALTH",
            "identifier": "C0081",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eupora Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eupora Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eupora, MS

Sources for this page

Verify at the official NPI Registry.