STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1699761064

Rehabilitation Unit in Jackson, MS

NPI 1699761064 Organization Rehabilitation Unit

NPI Profile for STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

State Of Mississippi - University Of Mississippi Medical Center is a provider established in Jackson, Mississippi specializing in rehabilitation unit. The NPI number of State Of Mississippi - University Of Mississippi Medical Center is 1699761064 and was assigned on September 2005. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. David Putt (Chief Executive Officer)

NPI

1699761064

Provider NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Provider Location Address2500 N STATE ST JACKSON, MS 39216
Provider Mailing Address2500 N STATE ST JACKSON, MS 39216
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-21-2005
Last Update Date04-01-2011


Primary Taxonomy

Taxonomy Code273Y00000X
ClassificationRehabilitation Unit
TypeHospital Units
Taxonomy DescriptionIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Business Address

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (866) 842-7574

Get Directions


Mailing Address

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (866) 842-7574
Fax: (601) 815-6301



Authorized Official

Authorized Official NameMR. DAVID PUTT
Authorized Official TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(601) 984-4173

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
25T001MEDICARE PIN (08)MS

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699761064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891462012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 2 + 0 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1699761064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477556231UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Organization
Ophthalmology2500 N STATE ST STE B329
JACKSON, MS 39216
(601) 815-3931
1770580961DR. BRIAN L CRABTREE PHARM.D.
Individual
Pharmacist (Psychiatric)2500 N STATE ST
JACKSON, MS 39216
(601) 351-8013
1649266164MR. LOUIS BUFORD YERGER JR. MD
Individual
Orthopaedic Surgery2500 N STATE ST
JACKSON, MS 39216
(601) 984-5488
1477524502DR. CHRISTOPHER BLEWETT MD
Individual
Surgery (Pediatric Surgery)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5050
1760453823DR. JEFFERY D CARRON MD
Individual
Otolaryngology2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
(601) 984-5160
1164499109DR. BARRY SAUL RUBEL D.M.D.
Individual
Dentist2500 N STATE ST
JACKSON, MS 39216
(601) 984-6030
1689641649 IRINA V BORISSOVA MD, PHD
Individual
Anesthesiology (Pediatric Anesthesiology)2500 N STATE ST DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
(601) 984-5900
1215906573DR. TRACY MICHELLE DELLINGER D.D.S.
Individual
Dentist2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
(601) 984-6028
1871544155DR. KATIE S MCCLENDON PHARM.D.
Individual
Pharmacist2500 N STATE ST SCHOOL OF PHARMACY-OFFICE ANNEX
JACKSON, MS 39216
(601) 984-2638
1023061447DR. JOHN K HALL MD
Individual
Anesthesiology (Pediatric Anesthesiology)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5900
1639123078 WILLIAM HUGH SOREY M.D.
Individual
Pediatrics2500 N STATE ST
JACKSON, MS 39216
(601) 815-8010
1003862707 RAPHAEL CORCORAN SNEED M.D.
Individual
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 984-2940
1043267990DR. KEVIN DEL BEN PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1346297090MS. VICKY DIANNE MINNINGER CFNP
Individual
Nurse Practitioner2500 N STATE ST
JACKSON, MS 39216
(601) 984-6525
1578510962 DOMENIC P ESPOSITO M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1386681633DR. GRAYSON S NORQUIST M.D.
Individual
Psychiatry & Neurology (Psychiatry)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1770521718MS. JUDITH ROSEMARY O'JILE PHD
Individual
Clinical Neuropsychologist2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1730127390 SAMUEL L. BARNETT M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1790723294MRS. JULIE A SCHUMACHER-COFFEY PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1073551586DR. HANS-GEORG OTTO BOCK M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
(601) 984-1900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
State Of Mississippi - University Of Mississippi Medical Center is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.