TRACE REGIONAL HOSPITAL - NPI 1003096488 - Clinic/Center in Houston, MS

Q: What is Southern Health Corp. Of Houston, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Trace Regional Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACE REGIONAL HOSPITAL (NPI 1003096488) is a healthcare organization registered as a clinic/center in Houston, Mississippi and active in the NPI registry since November 2007. The organization lists Sheila Brockman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003096488

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHERN HEALTH CORP. OF HOUSTON, INC.

Location Address1002 E MADISON STHouston, MS 38851-2417

Mailing AddressPo Box 626Houston, MS 38851-0626 · (662) 456-1163 · Fax (662) 456-1159

Phone(662) 456-1163

Fax(662) 456-1159

Organization SubpartNo

Authorized OfficialSheila BrockmanCeo · (662) 456-3700

Enumeration DateNovember 14, 2007

Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1003096488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MS · 12-296

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1002 E MADISON ST, Houston, MS 38851

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Other Names 1

Doing Business AsTrace Regional Hospital

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN ZEPEDA HILLHOUSE

Nurse Practitioner