NPIMap

Organization Active NPI

Pontotoc Health Services, Inc.

Doing business as Pontotoc Health Services CAH - Swing Bed

  • Critical Access Hospital
  • Pontotoc, MS
National Provider Identifier
1962512871
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
16-091 Issued in MS
Legal business name
PONTOTOC HEALTH SERVICES, INC.
Doing business as
Pontotoc Health Services CAH - Swing Bed
Practice address
176 S Main St
Pontotoc, MS 38863-3311
Phone
(662) 488-7640
Fax
(662) 488-7675
NPI assigned
Aug 30, 2006
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PONTOTOC HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 16-091 MS Primary

Addresses

Primary practice location

176 S Main St
Pontotoc, MS 38863-3311

Mailing address

176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 488-7640

Other names 1

  • Pontotoc Health Services CAH - Swing Bed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040719001336 MS Part B Supplier - Clinic/Group Practice 6002895356 Receives reassigned benefits from 104 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ecru, MS; New Albany, MS; Pontotoc, MS
O20220725001376 MS Part A Provider - Critical Access Hospital 6002895356 Practice locations: Pontotoc, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962512871. Details of each certification follow.

Hospital certification: CCN 25Z308

Legal name
PONTOTOC HEALTH SERVICES, INC.
Doing business as
PONTOTOC HEALTH SERVICES-CAH-SWING BED
Organization structure
CorporationNon-profit
Enrollment address
176 S Main St
Pontotoc, MS 38863-3311
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Pontotoc Health Services

Locations

400 Doctors Dr
New Albany, MS 38652
Phone (662) 534-5036

30 W Reynolds St
Pontotoc, MS 38863
Phone (662) 488-7640

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Leslia D Carter Individual W-2 Managing Employee Nov 1, 2014
North Mississippi Health Services Inc Organization, Tupelo, MS Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 1987
Bruce J Toppin Individual Corporate OfficerSecretary Nov 1, 1997
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Michael S Spees Individual Operational/Managerial ControlCeo Feb 1, 2014
Ernie Wright Individual Corporate DirectorBoard Member Aug 13, 2022
Miriam Clark Individual Corporate DirectorBoard Member Aug 13, 2022
Scott Uithoven Individual Corporate DirectorBoard Member Aug 13, 2022
Conwell Duke Individual Corporate DirectorBoard Member Aug 13, 2022
David High Individual Corporate DirectorBoard Member Aug 13, 2022

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 106

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.

View all 106

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1962512871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTOTOC HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONTOTOC HEALTH SERVICES, INC.",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "16-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontotoc Health Services CAH - Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.