NPIMap

Organization Active NPI

Region IV

  • Nursing Care Agency
  • Corinth, MS
National Provider Identifier
1740600808
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R858073 Issued in MS
Legal business name
REGION IV
Practice address
601 Foote St
Corinth, MS 38834-4834
Phone
(662) 287-4424
Fax
(662) 287-2070
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Charlotte Ann Spencer
Title
RN
Phone
(662) 416-3679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R858073 MS Primary

Addresses

Primary practice location

601 Foote St
Corinth, MS 38834-4834

Mailing address

601 Foote St
P.O. Box 839
Corinth, MS 38834-4834
Phone (662) 287-4424

National Provider Directory

National Provider Directory
Tax ID family
Southaven Services31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1740600808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FOOTE ST",
            "address_2": "P.O. BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344834",
            "telephone_number": "662-287-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FOOTE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344834",
            "telephone_number": "662-287-4424",
            "fax_number": "662-287-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "662-416-3679"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "R858073",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2014; 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.