Active NPI
North Ms Regional Center
- Intellectual Disabilities Intermediate Care Facility
- Oxford, MS
National Provider Identifier
1922189596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 263
- Legal business name
- NORTH MS REGIONAL CENTER
- Practice address
- 967 Regional Center Dr
Oxford, MS 38655-3551 - Phone
- (662) 234-1476
- Fax
- (662) 234-1699
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carole B Haney
- Title
- Director
- Phone
- (662) 234-1476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 263 | MS | Primary |
Addresses
Primary practice location
967 Regional Center Dr
Oxford, MS 38655-3551
Mailing address
967 Regional Center Dr
Oxford, MS 38655-3551
Phone (662) 234-1476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08200851 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- North Ms Regional Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Oxford, MS
- NPI 1033102884
-
- Intellectual Disabilities Intermediate Care Facility
- Oxford, MS
- NPI 1346339314
-
- Case Management Agency
- Oxford, MS
- NPI 1396834370
-
- Intellectual Disabilities Intermediate Care Facility
- Oxford, MS
- NPI 1538258967
-
- Community/Behavioral Health Agency
- Oxford, MS
- NPI 1790866861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922189596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 REGIONAL CENTER DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553551",
"telephone_number": "662-234-1476",
"fax_number": "662-234-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 REGIONAL CENTER DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553551",
"telephone_number": "662-234-1476",
"fax_number": "662-234-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MS REGIONAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "CAROLE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "662-234-1476",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "MS",
"license": "263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08200851",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.