NPIMap

Organization Active NPI

Yalobusha County Nursing Home Dba Yalobusha General Hospital

  • Nursing Facility/Intermediate Care Facility
  • Water Valley, MS
National Provider Identifier
1932278231
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
224 Issued in MS
Legal business name
YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL
Practice address
630 S Main St
Water Valley, MS 38965-3468
Phone
(662) 473-1411
Fax
(662) 473-4922
NPI assigned
Nov 8, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Ms. Bonnie Jean Helm
Title
Nursing Home Insurance
Phone
(662) 473-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 224 MS Primary

Addresses

Primary practice location

630 S Main St
Water Valley, MS 38965-3468

Mailing address

630 S Main St
Water Valley, MS 38965-3468
Phone (662) 473-1411

Other identifiers 2

IdentifierTypeStateIssuer
0023158MedicaidMS
00440552MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Yalobusha County Nursing Home Dba Yalobusha General Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1932278231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1411",
            "fax_number": "662-473-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1411",
            "fax_number": "662-473-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HELM",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "NURSING HOME INSURANCE",
        "authorized_official_telephone_number": "662-473-1411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023158",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440552",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.