Organization Active NPI

Progressive Medical Management of Batesville LLC

  • Psychiatric Hospital Unit
  • Batesville, MS
National Provider Identifier
1679036313
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC
Practice address
155 Keating Rd
Batesville, MS 38606-2901
Phone
(662) 561-4075
NPI assigned
Apr 10, 2019
Organization subpart
Yes
Parent organization
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Kenneth Williams
Title
Board Vice Chair
Phone
(901) 212-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

155 Keating Rd
Batesville, MS 38606-2901

Mailing address

303 Medical Center Dr
Batesville, MS 38606-8608
Phone (985) 502-6153

Other names 2

  • Crossroads Behavioral Health Doing business as
  • Panola Medical Center West Campus Doing business as

National Provider Directory

National Provider Directory
Part of
Progressive Medical Management of Batesville LLC

Member of 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1679036313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "985-502-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 KEATING RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062901",
            "telephone_number": "662-561-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "BOARD VICE CHAIR",
        "authorized_official_telephone_number": "901-212-3505"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panola Medical Center West Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.