NPIMap

Organization Active NPI

Region IV Work Activity

  • Community/Behavioral Health Agency
  • Ripley, MS
National Provider Identifier
1801128277
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REGION IV WORK ACTIVITY
Practice address
800 County Road 564
Ripley, MS 38663-7434
Phone
(662) 837-4245
Fax
(662) 837-9462
NPI assigned
Feb 9, 2010
Organization subpart
Yes
Parent organization
REGION IV MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mr. Charlie Spearman Sr.
Title
Execuitive Director
Phone
(662) 286-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

800 County Road 564
Ripley, MS 38663-7434

Mailing address

PO Box 216
Ripley, MS 38663-0216
Phone (662) 837-4245

National Provider Directory

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

Other organizations with this tax ID 30

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

View all 30

Locations

800 County Road 564
Ripley, MS 38663
Phone (662) 837-4245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1801128277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630216",
            "telephone_number": "662-837-4245",
            "fax_number": "662-837-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COUNTY ROAD 564",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386637434",
            "telephone_number": "662-837-4245",
            "fax_number": "662-837-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV WORK ACTIVITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGION IV MENTAL HEALTH SERVICES",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "EXECUITIVE DIRECTOR",
        "authorized_official_telephone_number": "662-286-9883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.