NPIMap

Organization Active NPI

Bude Family Medical

Doing business as Franklin County Memorial Hospital dba Bude Family Medical

  • Rural Health Clinic/Center
  • Bude, MS
National Provider Identifier
1831592088
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BUDE FAMILY MEDICAL
Doing business as
Franklin County Memorial Hospital dba Bude Family Medical
Practice address
136 Main St N
Bude, MS 39630-7117
Phone
(601) 384-8100
Fax
(601) 384-4100
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANKLIN COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mike Boleware
Title
Administrator
Phone
(601) 384-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

136 Main St N
Bude, MS 39630-7117

Mailing address

136 Main St N
Bude, MS 39630-7117
Phone (601) 384-8100

Other names 1

  • Franklin County Memorial Hospital dba Bude Family Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin County Memorial Hospital6 organizations share this tax ID, including this one
Part of
Franklin County Memorial Hospital

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1831592088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAIN ST N",
            "city": "BUDE",
            "state": "MS",
            "postal_code": "396307117",
            "telephone_number": "601-384-8100",
            "fax_number": "601-384-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAIN ST N",
            "city": "BUDE",
            "state": "MS",
            "postal_code": "396307117",
            "telephone_number": "601-384-8100",
            "fax_number": "601-384-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDE FAMILY MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BOLEWARE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-384-8126"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin County Memorial Hospital dba Bude Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bude, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.