Monette Hospice, Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MONETTE HOSPICE, INCORPORATED

Practice address

151 N Main St
Drew, MS 38737-3406

Phone

(662) 745-0261

Fax

(662) 745-0263

NPI assigned

Dec 11, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Allen, LICENSED PRACTICAL N

Title

Ceo, LPN

Phone

(662) 745-0261

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1790845758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373406",
            "telephone_number": "662-745-0261",
            "fax_number": "662-745-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373406",
            "telephone_number": "662-745-0261",
            "fax_number": "662-745-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONETTE HOSPICE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO, LPN",
        "authorized_official_telephone_number": "662-745-0261",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED PRACTICAL N"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Drew, MS
• Providers in Drew, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.