NPIMap

Organization Active NPI

North Mississippi Medcial Center, Inc.

Doing business as Baldwyn Outpatient Rehab

  • Rehabilitation Clinic/Center
  • Baldwyn, MS
National Provider Identifier
1669656765
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
13-063 Issued in MS
Legal business name
NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Doing business as
Baldwyn Outpatient Rehab
Practice address
920 N Fourth St
Suite a
Baldwyn, MS 38824-1121
Phone
(662) 365-4082
Fax
(662) 365-4142
NPI assigned
Dec 26, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 13-063 MS Primary

Addresses

Primary practice location

920 N Fourth St
Suite a
Baldwyn, MS 38824-1121

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774

Other names 1

  • Baldwyn Outpatient Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Groves MD65 organizations share this tax ID, including this one
Part of
Benjamin Groves MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

920 N Fourth St
Ste A
Baldwyn, MS 38824
Phone (662) 365-4082

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1669656765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-2774",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N FOURTH ST",
            "address_2": "SUITE A",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388241121",
            "telephone_number": "662-365-4082",
            "fax_number": "662-365-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDCIAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "enumeration_date": "2007-12-26",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MS",
            "license": "13-063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwyn Outpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwyn, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.