NORTH MISSISSIPPI MEDICAL CENTER, INC. NPI 1003871344

Home Health in Tupelo, MS

About NORTH MISSISSIPPI MEDICAL CENTER, INC.

North Mississippi Medical Center, Inc. is a provider in Tupelo, MS. The NPI number assigned to this provider is 1003871344. The practitioner's primary taxonomy code is Home Health (251E00000X). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as North Ms Medical Center Home Health Agency.

NPI1003871344 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameNORTH MISSISSIPPI MEDICAL CENTER, INC.
Provider Location Address426 E PRESIDENT AVE TUPELO, MS 38801 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address830 S GLOSTER ST TUPELO, MS 38801 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameNORTH MS MEDICAL CENTER HOME HEALTH AGENCY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-11-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

NORTH MISSISSIPPI MEDICAL CENTER, INC.
426 E PRESIDENT AVE
TUPELO, MS
ZIP 38801
Phone: (662) 377-2138
Fax: (662) 377-7983
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Mailing Address

NORTH MISSISSIPPI MEDICAL CENTER, INC.
830 S GLOSTER ST
TUPELO, MS
ZIP 38801
Phone: (662) 377-2138
Fax: (662) 377-7983

Primary Taxonomy

Taxonomy Code251E00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationHome Health
TypeAgencies
License No.8481
License StateMS
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

Authorized Official NameMR. JOSEPH A REPPERT Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCFO
Authorized Official Phone(662) 377-3978

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
257002MEDICARE OSCAR/CERTIFICATION (06)
000070519OTHER (01)MS
00070519MEDICAID (05)MS

Map Location


NORTH MISSISSIPPI MEDICAL CENTER, INC. address is 426 E PRESIDENT AVE TUPELO, MS 38801