COVINGTON COUNTY HOSPITAL
NPI 1003654567
Emergency Medicine - Emergency Medical Services in Raleigh, MS
NPI Status: Active since July 18, 2024
Contact Information
347 MAGNOLIA DR
RALEIGH, MS
ZIP 39153
Phone: (601) 640-1711
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 25D0319048
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-06-2027
About COVINGTON COUNTY HOSPITAL
This page provides the complete NPI Profile along with additional information for Covington County Hospital, a provider established in Raleigh, Mississippi operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1003654567 assigned on July 2024. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Anissa L Evans Credentialing (Credentialing Director)
- NPI
- 1003654567
- Provider Name
- COVINGTON COUNTY HOSPITAL
- Entity Type
- Organization
- Location Address
- 347 MAGNOLIA DR RALEIGH, MS 39153
- Location Phone
- (601) 640-1711
- Mailing Address
- PO BOX 2499 COLLINS, MS 39428
- Mailing Phone
- (601) 640-1711
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2024
- Last Update Date
- 04-09-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0319048
- Facility Type
- Hospital
- Certificate Effective Date
- February 07, 2025
- Certificate Expiration Date
- February 06, 2027
- Laboratory Director
- DR. ABRAM T. COPPAGE IV
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Covington County Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003654567, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003654567, enumerated as an "organization" on July 18, 2024.
The provider is located at 347 MAGNOLIA DR RALEIGH, MS 39153 and the phone number is (601) 640-1711.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
