Simpson Community Healthcare, Inc.
Organization Active NPI Body Imaging Physician · Mendenhall, MS
NPI 1902000375 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902000375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Body Imaging Physician 2085B0100X
- Legal business name
- SIMPSON COMMUNITY HEALTHCARE, INC.
- Practice address
- 1842 Simpson Highway 149
Mendenhall, MS 39114-3438 - Phone
- (601) 847-7130
- Fax
- (601) 847-7104
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Shelly G Riley
- Title
- Cco Business Office Director
- Phone
- (601) 847-7130
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Simpson Community Hlthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | Yes |
Addresses
Primary practice location
1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Mailing address
1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Phone (601) 847-7130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9013247 | Medicaid | MS |
Other names
- SIMPSON COMMUNITY HEALTHCARE, INC. RADIOLOGY
Other providers in Mendenhall, MS
- Simpson Community Healthcare, Inc
- Simpson Community Healthcare, Inc.
- Simpson Community Healthcare, Inc.
- Simpson Community Healthcare, Inc.
- Simpson Community Healthcare, Inc.
- Simpson Dental Group PLLC
- Harpal Singh
- Kimberly Blair Smith
- Daniel Gregory Stevens
- Whitney Stubbs
All providers in Mendenhall, MS · Body Imaging Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.