NPIMap

Organization Active NPI

North Mississippi Primary Health Care, Inc.

Doing business as Corinth Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Corinth, MS
National Provider Identifier
1902292410
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Doing business as
Corinth Community Health Center
Practice address
1010 South Harper Road
Corinth, MS 38834
Phone
(662) 396-4406
Fax
(662) 396-4482
NPI assigned
Apr 10, 2015
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
William H Stone
Title
Ceo
Phone
(662) 224-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1010 South Harper Road
Corinth, MS 38834

Mailing address

15921 Boundary Dr
PO Box 92
Ashland, MS 38603-7740
Phone (662) 224-8951

Other identifiers 1

IdentifierTypeStateIssuer
09011971MedicaidMS

Other names 1

  • Corinth Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000543 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
Practice locations: Corinth, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902292410. Details of each certification follow.

Federally qualified health center certification: CCN 251937

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
CORINTH COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 1, 2004
Last certification
Sep 1, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
1010 S Harper Rd
Corinth, MS 38834-6613

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
No Ms Primary HLTH Care Inc16 organizations share this tax ID, including this one
Part of
No Ms Primary HLTH Care Inc

Other organizations with this tax ID 15

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

View all 15

Locations

3114 E Shiloh Rd
#B
Corinth, MS 38834

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Lewis Errol Davis Individual Corporate Director Jan 1, 2008
Tim Watson Individual Corporate DirectorBoard Member Jan 1, 2016
Anthony L Farese Individual Corporate DirectorBoard Member Jan 1, 2016
Bonnie B Martindale Individual Corporate DirectorBoard Member Jan 1, 2019
North Mississippi Primary Health Care Inc Organization, Ashland, MS Non-profit Other Sep 1, 2004
William H Stone Individual Corporate Officer Jul 25, 2023
Corporate Director Jul 25, 2023
W-2 Managing Employee Jul 25, 2023
Frederick Steve Bostick Individual Corporate Director Jan 1, 2000
Willie R Daugherty Individual Corporate DirectorBoard Member Jul 1, 2017
Shelley M Akins Individual Corporate Director Aug 1, 2018
Gary Dunnam Individual Corporate DirectorBoard Member Jan 1, 2016
Jackie L McKenzie Individual Corporate DirectorBoard Member Jan 1, 2016
Mary Tucker Individual Corporate Director Jan 1, 2000

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ripley Health Care AssociatesRipley, MS, CCN 251867 Federally qualified health center Operational/Managerial Control May 1, 1985
Booneville Community Health CenterBooneville, MS, CCN 251877 Federally qualified health center Operational/Managerial Control Jan 4, 2001
Walnut Medical CenterWalnut, MS, CCN 251853 Federally qualified health center Operational/Managerial Control (100%) Sep 14, 1995
New Albany Health Care AssociatesNew Albany, MS, CCN 251042 Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and WellnessOxford, MS, CCN 251116 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Ashland Multispecialty Telehealth and Administration BuildingAshland, MS, CCN 251167 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly SpringsHolly Springs, MS, CCN 251168 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1902292410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15921 BOUNDARY DR",
            "address_2": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037740",
            "telephone_number": "662-224-8951",
            "fax_number": "662-224-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SOUTH HARPER ROAD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-396-4406",
            "fax_number": "662-396-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "enumeration_date": "2015-04-10",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-224-8951"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011971",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corinth Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.