NPIMap

Organization Active NPI

Stone County Hospital, Inc.

Doing business as Stone County Family Medical Clinic

  • Rural Health Clinic/Center
  • Wiggins, MS
National Provider Identifier
1861650483
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
12280 Issued in MS
Legal business name
STONE COUNTY HOSPITAL, INC.
Doing business as
Stone County Family Medical Clinic
Practice address
1434 Central Ave E
Wiggins, MS 39577-9602
Phone
(601) 928-6600
Fax
(601) 928-6658
NPI assigned
May 30, 2008
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Mrs. Darlene C Odom
Title
Business Office Director
Phone
(601) 928-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 12280 MS Primary

Addresses

Primary practice location

1434 Central Ave E
Wiggins, MS 39577-9602

Mailing address

1434 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6600

Other identifiers 1

IdentifierTypeStateIssuer
258519OtherMSTRISPAN RURAL HEALTH CLINIC

Other names 1

  • STONE COUNTY FAMILY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1861650483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600",
            "fax_number": "601-928-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600",
            "fax_number": "601-928-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "601-928-6620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "12280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRISPAN RURAL HEALTH CLINIC",
            "identifier": "258519",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONE COUNTY FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.