NPIMap

Organization Active NPI

Wesley Health System LLC

Doing business as Merit Health Wesley

  • General Acute Care Hospital
  • Hattiesburg, MS
National Provider Identifier
1841241841
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
12-023 Issued in MS
Legal business name
WESLEY HEALTH SYSTEM LLC
Doing business as
Merit Health Wesley
Practice address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone
(601) 268-8000
Fax
(601) 268-5008
NPI assigned
May 14, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 12-023 MS Primary

Addresses

Primary practice location

5001 Hardy St
Hattiesburg, MS 39402-1308

Mailing address

PO Box 848488
Dallas, TX 75284-8488
Phone (601) 268-8000

Other identifiers 1

IdentifierTypeStateIssuer
00220462MedicaidMS

Other names 1

  • Merit Health Wesley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000213 MS Part A Provider - Hospital 4587656103 Practice locations: Hattiesburg, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841241841. Details of each certification follow.

Hospital certification: CCN 250094

Legal name
WESLEY HEALTH SYSTEM LLC
Doing business as
MERIT HEALTH WESLEY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 8, 1969
Last certification
Aug 16, 2007
Beds
211
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 1, 1997 (1 total)
Organization structure
LLCProprietary
Incorporated
Jul 9, 1997 in DE
Enrollment address
5001 Hardy St
Hattiesburg, MS 39402-1308
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Merit Health WesleyCCN 250094 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Jan 1, 2020
Corporate DirectorPresident/Board Member Jan 1, 2020
QHG Georgia Holdings, Inc. Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Triad Nevada Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Travis Riley Sisson Individual W-2 Managing EmployeeCeo Mar 4, 2024
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
QHG of Forrest County Inc Organization, Franklin, TN Corporation 5% Or Greater Direct Ownership Interest Sep 1, 1997 5%
Triad Holdings V LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 1997 100%
Paula M Lalor Individual Corporate DirectorDirector PFS/Delegated Official Apr 8, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 1997 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 1, 1997 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
QHG of Hattiesburg Inc Organization, Franklin, TN Corporation 5% Or Greater Direct Ownership Interest Sep 1, 1997 95%
NC-DSH LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2014 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 26, 2013
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Brandon Hma LLC

    dba Merit Health Rankin

    • General Acute Care Hospital
    • Brandon, MS
    • NPI 1205882669

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Brandon Hma LLC

    dba Merit Health Rankin

    • Psychiatric Hospital Unit
    • Brandon, MS
    • NPI 1427098391

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Jackson Hma LLC

    dba Merit Health Central

    • General Acute Care Hospital
    • Jackson, MS
    • NPI 1033163092

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Natchez Hospital Company LLC

    dba Merit Health Natchez

    • Rehabilitation Hospital Unit
    • Natchez, MS
    • NPI 1083013478

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Natchez Hospital Company LLC

    dba Merit Health Natchez

    • General Acute Care Hospital
    • Natchez, MS
    • NPI 1164821559

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Natchez Hospital Company LLC

    dba Merit Health Natchez

    • Medicare Defined Swing Bed Hospital Unit
    • Natchez, MS
    • NPI 1457979908

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • River Oaks Hospital LLC

    dba Merit Health River Oaks

    • General Acute Care Hospital
    • Flowood, MS
    • NPI 1396792032

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Roh LLC

    dba Merit Health Women's Hospital

    • Women's Hospital
    • Jackson, MS
    • NPI 1285681841

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Vicksburg Clinic LLC

    dba River Region Rural Health - MOB1

    • Rural Health Clinic/Center
    • Vicksburg, MS
    • NPI 1790915395

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC

    CMS ownership
  • Vicksburg Clinic LLC

    dba River Region Rural Health - SC

    • Rural Health Clinic/Center
    • Vicksburg, MS
    • NPI 1861622268

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC

    CMS ownership
  • Vicksburg Healthcare LLC

    dba Merit Health River Region

    • General Acute Care Hospital
    • Vicksburg, MS
    • NPI 1215981303

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC

    CMS ownership
  • Vicksburg Healthcare LLC

    dba Merit Health River Region West

    • Psychiatric Hospital Unit
    • Vicksburg, MS
    • NPI 1740228881

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC

    CMS ownership
View all 120

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

Affiliated clinicians 191

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 191

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1841241841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848488",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848488",
            "telephone_number": "601-268-8000",
            "fax_number": "601-268-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021308",
            "telephone_number": "601-268-8000",
            "fax_number": "601-268-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-14",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "12-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220462",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Health Wesley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merit Health Wesley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.