Organization Active NPI

Webster Health Services, Inc.

Doing business as NMMC - Eupora

  • Nursing Facility/Intermediate Care Facility
  • Eupora, MS
National Provider Identifier
1669577912
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
657 Issued in MS
Legal business name
WEBSTER HEALTH SERVICES, INC.
Doing business as
NMMC - Eupora
Practice address
70 Medical PLZ
Eupora, MS 39744-4018
Phone
(662) 258-9341
Fax
(662) 258-9291
NPI assigned
Sep 13, 2006
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
WEBSTER HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. Joseph A Reppert
Title
Cfo
Phone
(662) 377-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 657 MS Primary

Addresses

Primary practice location

70 Medical PLZ
Eupora, MS 39744-4018

Mailing address

70 Medical PLZ
Eupora, MS 39744-4018
Phone (662) 258-9341

Other identifiers 1

IdentifierTypeStateIssuer
00220060MedicaidMS

Other names 1

  • NMMC - Eupora Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Webster Health SVCS11 organizations share this tax ID, including this one
Part of
Webster Health SVCS

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1669577912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL PLZ",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397444018",
            "telephone_number": "662-258-9341",
            "fax_number": "662-258-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL PLZ",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397444018",
            "telephone_number": "662-258-9341",
            "fax_number": "662-258-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEBSTER HEALTH SERVICES, INC.",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-377-3978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220060",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMMC - Eupora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eupora, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.