PONTOTOC HEALTH SERVICES INC. NPI 1609979053

NPI Information

NPI: 1609979053
Provider Name: PONTOTOC HEALTH SERVICES, INC.

Doing Business As: PONTOTOC HOSPITAL ER PHYS

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
176 S MAIN ST
PONTOTOC, MS
ZIP 38863
Phone: (662) 488-7640
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PONTOTOC HEALTH SERVICES, INC. is an emergency care clinic center in Pontotoc, MS. PONTOTOC HEALTH SERVICES, INC. NPI is 1609979053. The provider is registered as an organization entity type.
The provider Is Doing Business As Pontotoc Hospital Er Phys.

The provider's business location address is:

176 S MAIN ST
PONTOTOC, MS
ZIP 38863-311
Phone: (662) 488-7640
Fax: (662) 488-7675

The provider's authorized official is Joseph A Reppert .
The authorized official title is Cfo and has the following contact phone number (662) 377-3978.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/11/2011.

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
1	261QE0002X	Clinic/Center	Emergency Care	16-091	MISSISSIPPI	Yes

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
1	9012148	MEDICAID	MISSISSIPPI

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: 5/5/2024

NPI Synchronization or Removal

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