NPIMap

Organization Active NPI

Kossuth Family Health Clinic

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1679600522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R560634 Issued in MS
Legal business name
KOSSUTH FAMILY HEALTH CLINIC
Practice address
820 Highway 2
Corinth, MS 38834-7954
Phone
(662) 286-5055
Fax
(662) 286-9700
NPI assigned
Feb 27, 2007
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
Betty G Hayhurst, MSN, APRN, BC FNPNPI 1609858109
Title
Owner
Phone
(662) 286-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R560634 MS Primary

Addresses

Primary practice location

820 Highway 2
Corinth, MS 38834-7954

Mailing address

PO Box 8023
Corinth, MS 38834-8023
Phone (662) 286-5055

Other identifiers 1

IdentifierTypeStateIssuer
08788775MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679600522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8023",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348023",
            "telephone_number": "662-286-5055",
            "fax_number": "662-286-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HIGHWAY 2",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347954",
            "telephone_number": "662-286-5055",
            "fax_number": "662-286-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSSUTH FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYHURST",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-286-5055",
        "authorized_official_credential": "MSN, APRN, BC  FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R560634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08788775",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, 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.