NPIMap

Organization Active NPI

Winston County Medical Foundation

Doing business as Winston Medical Center

  • Skilled Nursing Facility
  • Louisville, MS
National Provider Identifier
1669514154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
228 Issued in MS
Legal business name
WINSTON COUNTY MEDICAL FOUNDATION
Doing business as
Winston Medical Center
Practice address
562 E Main St
Louisville, MS 39339-2742
Phone
(662) 773-6211
Fax
(662) 773-6223
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale Saulters
Title
Administrator
Phone
(662) 779-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 228 MS Primary

Addresses

Primary practice location

562 E Main St
Louisville, MS 39339-2742

Mailing address

562 E Main St
PO Box 967
Louisville, MS 39339-2742
Phone (662) 773-6211

Other identifiers 1

IdentifierTypeStateIssuer
00230020MedicaidMS

Other names 1

  • Winston Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winston Co Comm Hospita9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669514154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E MAIN ST",
            "address_2": "PO BOX 967",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392742",
            "telephone_number": "662-773-6211",
            "fax_number": "662-773-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392742",
            "telephone_number": "662-773-6211",
            "fax_number": "662-773-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON COUNTY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAULTERS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-779-5101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230020",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.