NPIMap

Organization Active NPI

Progressive Health of Houston, LLC

  • Rural Acute Care Hospital
  • Houston, MS
National Provider Identifier
1639936396
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
PROGRESSIVE HEALTH OF HOUSTON, LLC
Practice address
1002 E Madison St
Houston, MS 38851-2428
Phone
(662) 456-3700
Fax
(662) 456-1717
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Robert Quentin Whitwell, JD
Title
Ceo
Phone
(662) 701-9346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

1002 E Madison St
Houston, MS 38851-2428

Mailing address

PO Box 626
Houston, MS 38851-0626
Phone (662) 456-3700

Other names 1

  • Progressive Health Group of Houston Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240610003520 MS Part A Provider - Rural Emergency Hospital (Reh) 0143662429 Practice locations: Houston, MS
O20240910003027 MS Part B Supplier - Clinic/Group Practice 0143662429 Receives reassigned benefits from 31 practitioners
Practice locations: Houston, MS

Hospital certification: CCN 250785

Legal name
PROGRESSIVE HEALTH OF HOUSTON LLC
Doing business as
PROGRESSIVE HEALTH GROUP OF HOUSTON
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Aug 19, 2024
Last certification
Aug 19, 2024
Beds
1
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1002 E Madison St
Houston, MS 38851-2428
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Progressive Health Group of HoustonCCN 250785
Type
Rural Emergency Hospital
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

518 West Dr
Okolona, MS 38860
Phone (662) 447-1339

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Progressive Health of Houston LLC Organization, Oxford, MS LLC 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Robert Quentin Whitwell Individual W-2 Managing EmployeePresident Jan 22, 2024 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1639936396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388510626",
            "telephone_number": "662-456-3700",
            "fax_number": "662-456-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512428",
            "telephone_number": "662-456-3700",
            "fax_number": "662-456-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH OF HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "WHITWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-701-9346",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Health Group of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, MS

Sources for this page

Verify at the official NPI Registry.