NPIMap

Organization Active NPI

North Mississippi Primary Health Care, Inc.

Doing business as Tishomingo Health Care Associates

  • Federally Qualified Health Center (FQHC)
  • Tishomingo, MS
National Provider Identifier
1740676378
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Doing business as
Tishomingo Health Care Associates
Practice address
1310 Main St
Tishomingo, MS 38873
Phone
(662) 471-9416
Fax
(662) 438-7760
NPI assigned
Apr 10, 2015
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
William Hardee Stone
Title
Ceo
Phone
(662) 224-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1310 Main St
Tishomingo, MS 38873

Mailing address

15921 Boundary Dr
PO Box 92
Ashland, MS 38603-7740
Phone (662) 224-8951

Other identifiers 1

IdentifierTypeStateIssuer
03736053MedicaidMS

Other names 1

  • TISHOMINGO HEALTH CARE ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826001084 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tishomingo, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740676378. Details of each certification follow.

Federally qualified health center certification: CCN 251003

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
TISHOMINGO HEALTH CARE ASSOCIATES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2010
Last certification
Aug 30, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationProprietary
Incorporated
Sep 10, 1984 in MS
Enrollment address
1310 Main Street
Tishomingo, MS 38873-8743

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North Benton County HLT16 organizations share this tax ID, including this one
Part of
North Benton County HLT

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William H Stone Individual Corporate OfficerCeo Jul 25, 2023
Corporate DirectorCeo Jul 25, 2023
W-2 Managing EmployeeCeo Jul 25, 2023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1740676378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15921 BOUNDARY DR",
            "address_2": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037740",
            "telephone_number": "662-224-8951",
            "fax_number": "662-224-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MAIN ST",
            "city": "TISHOMINGO",
            "state": "MS",
            "postal_code": "38873",
            "telephone_number": "662-471-9416",
            "fax_number": "662-438-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARDEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-224-8951"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03736053",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TISHOMINGO HEALTH CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TISHOMINGO HEALTH CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tishomingo, MS

Sources for this page

Verify at the official NPI Registry.