NPIMap

Organization Active NPI

Jasper General Hospital

  • Community Based Hospice Care Agency
  • Bay Springs, MS
National Provider Identifier
1720187339
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
054 Issued in MS
Legal business name
JASPER GENERAL HOSPITAL
Practice address
20 Bay Avenue
Bay Springs, MS 39422-0527
Phone
(601) 764-2081
Fax
(601) 764-2081
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mrs. Ann Knotts
Title
Director
Phone
(601) 764-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 054 MS Primary

Addresses

Primary practice location

20 Bay Avenue
Bay Springs, MS 39422-0527

Mailing address

PO Box 527
Bay Springs, MS 39422-0527
Phone (601) 764-2081

Other identifiers 3

IdentifierTypeStateIssuer
00770340MedicaidMS
5000396OtherMSUNITED HEALTH CARE
000020177OtherMSBLUE CROSS BLUE SHIELD

Other names 1

  • Procare Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jasper General Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1720187339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220527",
            "telephone_number": "601-764-2081",
            "fax_number": "601-764-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BAY AVENUE",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220527",
            "telephone_number": "601-764-2081",
            "fax_number": "601-764-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-764-2081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770340",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5000396",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000020177",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.