East Mississippi State Hospital

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EAST MISSISSIPPI STATE HOSPITAL

Doing business as

EMSH Community Services

Practice address

701 Northside Dr
Newton, MS 39345-2361

Phone

(601) 683-4200

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST MISSISSIPPI STATE HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Donna Creekmore

Title

Assistant Program Director/Business

Phone

(601) 581-7919

Specialties & licenses 1

Addresses

Other names 1

• EMSH Community Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

East Mississippi State Hospital5 organizations share this tax ID, including this one

Part of

East Mississippi State Hospital

Other organizations with this tax ID 4

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

• East Mississippi State Hospital

  • Psychiatric Hospital
  • Meridian, MS
  • NPI 1225342173
  NPD tax ID
• East Mississippi State Hospital

  • Psychiatric Hospital Unit
  • Meridian, MS
  • NPI 1407269756
  NPD tax ID
• East Mississippi State Hospital

  • Institutional Pharmacy
  • Meridian, MS
  • NPI 1649323254
  NPD tax ID
• East Mississippi State Hospital

  dba Dental Clinic

  • General Practice Dentistry
  • Meridian, MS
  • NPI 1841490612
  NPD tax ID

Locations

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1710730924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 COLLEGE DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075721",
            "telephone_number": "601-581-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTHSIDE DR",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452361",
            "telephone_number": "601-683-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Ponderosa Ave",
            "address_purpose": "LOCATION",
            "city": "DE Kalb",
            "state": "MS",
            "postal_code": "393289102",
            "country_code": "US",
            "telephone_number": "601-751-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST MISSISSIPPI STATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MISSISSIPPI STATE HOSPITAL",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "CREEKMORE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT PROGRAM DIRECTOR/BUSINESS",
        "authorized_official_telephone_number": "601-581-7919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMSH Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Central Mississippi Health Care, Inc. (Newton Health Care)
• East Central Planning & Development District
• East Central Planning and Development District
• East Mississippi Medical Clinic
• East Mississippi Medical Clinic, PLLC
• Rebecca Elon Everett Espey, N.P.
• Leslie Kevin Ethridge, D.C.
• Fast Pace Mississippi, PLLC
• Footprints Adult Day Services
• Brelan Mikal Gardner, FNP

• Mental Illness Community Based Residential Treatment Facility in Newton, MS
• Providers in Newton, MS by specialty
• Mental Illness Community Based Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.