NPIMap

Organization Active NPI

Vicksburg Healthcare LLC

  • Rehabilitation Hospital Unit
  • Vicksburg, MS
National Provider Identifier
1659319796
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
VICKSBURG HEALTHCARE LLC
Practice address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone
(601) 883-5157
Fax
(601) 883-5197
NPI assigned
Jun 2, 2006
Organization subpart
Yes
Parent organization
VICKSBURG HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Laurie Holtsford
Title
Director, Business Office Services
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Mailing address

PO Box 1198
Dept 03-006
Vicksburg, MS 39181-1198
Phone (601) 883-5157

Other names 1

  • River Region Health System Doing business as

National Provider Directory

National Provider Directory
Part of
River Region

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1659319796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "address_2": "DEPT 03-006",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391811198",
            "telephone_number": "601-883-5157",
            "fax_number": "601-883-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-5157",
            "fax_number": "601-883-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKSBURG HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICKSBURG HEALTHCARE LLC",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SERVICES",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Region Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.