NPIMap

Organization Active NPI

Hudspeth Regional Center

  • Intellectual Disabilities Intermediate Care Facility
  • Whitfield, MS
National Provider Identifier
1750448718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
310 Issued in MS
Legal business name
HUDSPETH REGIONAL CENTER
Practice address
Highway 475 South
Whitfield, MS 39193
Phone
(601) 664-6000
Fax
(601) 354-6945
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Lipscomb, PHD
Title
Director
Phone
(601) 664-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 310 MS Primary

Addresses

Primary practice location

Highway 475 South
Whitfield, MS 39193

Mailing address

PO Box 127B
Whitfield, MS 39193-1032
Phone (601) 664-6000

Other identifiers 5

IdentifierTypeStateIssuer
00770074MedicaidMS
00095184MedicaidMS
00021843MedicaidMS
08582577MedicaidMS
09015377MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Hudspeth Center Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750448718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127B",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391931032",
            "telephone_number": "601-664-6000",
            "fax_number": "601-354-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 475 SOUTH",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "39193",
            "telephone_number": "601-664-6000",
            "fax_number": "601-354-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSPETH REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-664-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MS",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770074",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00095184",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00021843",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08582577",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015377",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitfield, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.