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KPC PROMISE HOSPITAL OF VICKSBURG LLC
NPI 1124682570
Long Term Care Hospital in Vicksburg, MS

Active since April 30, 2019
2100 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-3265 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Apr 30, 2019 (2 updates tracked since 2019).

About Kpc Promise Hospital Of Vicksburg Llc NPPES

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

KPC PROMISE HOSPITAL OF VICKSBURG LLC (NPI 1124682570) is a healthcare organization registered as a long term care hospital in Vicksburg, Mississippi and active in the NPI registry since April 2019. The organization lists William Thomas, Secretary, as its authorized official.

NPPES Registry Identity

NPI1124682570
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameKPC PROMISE HOSPITAL OF VICKSBURG LLC
Location Address2100 HIGHWAY 61 NVicksburg, MS 39183-8211
Mailing Address900 N Federal Hwy Ste 350Boca Raton, FL 33432-2754 · (561) 869-6505
Phone(601) 883-3265
Organization SubpartNo
Authorized OfficialWilliam ThomasSecretary · (951) 987-8100
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1124682570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
2100 HIGHWAY 61 N, Vicksburg, MS 39183
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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.

MR. MICHAEL J MCREYNOLDS CRNA
Nurse Anesthetist, Certified Registered
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 831-1146
DR. KAYLISE ANGELLE TRAHAN MD
Emergency Medicine
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
MICHAEL L DAVIS MD
Internal Medicine (Nephrology)
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 630-9755
LISA D FAIRCHILD MD
Pediatrics
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
TANNER C KIMBLE CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
MURRAY P WHITAKER MD
Internal Medicine (Cardiovascular Disease)
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
JAMES HENRY CARR M.D.
Emergency Medicine
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
CALVIN CHRISTOPHER SEYFARTH R.PH.
Pharmacist
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kpc Promise Hospital Of Vicksburg LLC's NPI number?

The NPI number for Kpc Promise Hospital Of Vicksburg LLC is 1124682570. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Kpc Promise Hospital Of Vicksburg LLC located?

Kpc Promise Hospital Of Vicksburg LLC is located at 2100 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 883-3265.

What is Kpc Promise Hospital Of Vicksburg LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

When was this NPI record last updated?

The NPPES record for Kpc Promise Hospital Of Vicksburg LLC was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.