RUSH MEDICAL FOUNDATION NPI 1477670966

NPI Information

  • NPI: 1477670966
  • Provider Name: RUSH MEDICAL FOUNDATION
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: OCHSNER WATKINS HOSPITAL SWING BED
  • Address: 605 S ARCHUSA AVE
    QUITMAN, MS
    ZIP 39355
  • Phone: (601) 776-6925

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NPI Details

RUSH MEDICAL FOUNDATION is a medicare defined swing bed unit in Quitman, MS. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. RUSH MEDICAL FOUNDATION NPI is 1477670966. The provider is registered as an organization entity type.
The provider Is Doing Business As Ochsner Watkins Hospital Swing Bed.

The provider's business location address is:

605 S ARCHUSA AVE
QUITMAN, MS
ZIP 39355-331
Phone: (601) 776-6925
Fax: (601) 776-7147

The provider's authorized official is Don Larkin Kennedy .
The authorized official title is Regional Ceo and has the following contact phone number (601) 703-9614.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000029005MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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