NPIMap

Organization Active NPI

Progressive Medical Management of Batesville LLC

  • Rural Health Clinic/Center
  • Stephenville, TX
National Provider Identifier
1689251407
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC
Practice address
2857 W Washington St
Stephenville, TX 76401-3706
Phone
(662) 563-5611
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Robert Quentin Whitwell
Title
Ceo
Phone
(662) 701-9346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

2857 W Washington St
Stephenville, TX 76401-3706

Mailing address

303 Medical Center Dr
Batesville, MS 38606-8608
Phone (662) 563-5611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address qwhitwell@panolamed.com

National Provider Directory

National Provider Directory
Tax ID family
Progressive Medical Management of Batesville LLC3 organizations share this tax ID, including this one
Part of
Progressive Medical Management of Batesville LLC

Other organizations with this tax ID 2

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1689251407",
    "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": "662-563-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013706",
            "telephone_number": "662-563-5611"
        }
    ],
    "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": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "WHITWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-701-9346"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qwhitwell@panolamed.com",
            "affiliation": "N",
            "address_1": "2857 W Washington St",
            "city": "Stephenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764013706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.