HUDSPETH REGIONAL CENTER
NPI 1750448718
Intermediate Care Facility, Intellectual Disabilities in Whitfield, MS

NPI Status: Active since January 02, 2007

Contact Information

HIGHWAY 475 SOUTH
WHITFIELD, MS
ZIP 39193
Phone: (601) 664-6000
Fax: (601) 354-6945

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Intermediate Care Facility, Intellectual...
CLIA Number: 25D2032315
CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
CLIA Exp. Date: 11-07-2025

About HUDSPETH REGIONAL CENTER

This page provides the complete NPI Profile along with additional information for Hudspeth Regional Center, a provider established in Whitfield, Mississippi operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1750448718 assigned on January 2007. The practitioner's primary taxonomy code is 315P00000X with license number 310 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. John Lipscomb Phd (Director)

NPI: 1750448718
Provider Name: HUDSPETH REGIONAL CENTER
Entity Type: Organization
Location Address: HIGHWAY 475 SOUTH WHITFIELD, MS 39193
Location Phone: (601) 664-6000
Location Fax: (601) 354-6945
Mailing Address: PO BOX 127B WHITFIELD, MS 39193
Mailing Phone: (601) 664-6000
Mailing Fax: (601) 354-6945
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-02-2007
Last Update Date: 08-22-2020
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: Intermediate Care Facility, Intellectual Disabilities
Taxonomy Code: 315P00000X
Type: Nursing & Custodial Care Facilities
License No.: 310
License State: MS
Taxonomy Description: An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. JOHN LIPSCOMB PHD
Authorized Official Title: DIRECTOR
Authorized Official Phone: (601) 664-6000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
00021843	MEDICAID (05)	MS
00095184	MEDICAID (05)	MS
09015377	MEDICAID (05)	MS
08582577	MEDICAID (05)	MS
00770074	MEDICAID (05)	MS

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: 25D2032315
Facility Type: Intermediate Care Facility for Mentally Retarded
Certificate Effective Date: November 08, 2023
Certificate Expiration Date: November 07, 2025
Laboratory Director: JERRIE BARNES
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Hudspeth Regional Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step 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.
1	7	5	0	4	4	8	7	1	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	8	4	16	7	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 4 + 1 + 6 + 7 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1750448718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

DR. ANDRE PAUL BUTEAU PH.D.

Psychologist

(Intellectual and Developmental Disabilities)

HIGHWAY 475 SOUTH
HUDSPETH REGIONAL CENTER
WHITFIELD, MS
ZIP 39193

(601) 664-6195

View Profile

HUDSPETH REGIONAL CENTER

Case Management