Pontotoc Nursing Home

LBN: Pontotoc Health Services, Inc.
Pontotoc Nursing Home is an health care organization with primary practice located at 176 S Main St , Pontotoc MS 38863-3311. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Pontotoc Health Services, Inc. can be contacted via phone (662) 488-7640, or through Reppert, Joseph A via phone (662) 377-3978.

Contact Information

Primary practice address
176 S Main St Pontotoc MS 38863-3311
Phone: (662) 488-7640
Fax: (662) 488-7675
Website:
Map and Directions
Authorized official contact:
Name: Reppert, Joseph A
Phone: (662) 377-3978

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 590 Mississippi

Profile Details

NPI number 1568572485
LBN Legal business name Pontotoc Health Services, Inc.
DBA Doing business as Pontotoc Nursing Home
Authorized official Reppert, Joseph A
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 30th, 2006
Last updated Nov 11th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568572485 NPPES
Mississippi MEDICAID 0023108

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