PONTOTOC HEALTH SERVICES, INC. – NPI #1609979053
Clinic/Center

PONTOTOC HEALTH SERVICES, INC. is an AHC clinic located in PONTOTOC, MS. NPPES has assigned the NPI number 1609979053 to PONTOTOC HEALTH SERVICES, INC. on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was last updated on Jan 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PONTOTOC HEALTH SERVICES, INC. below.

NPI Profile for
PONTOTOC HEALTH SERVICES, INC.

NPI Number
1609979053
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PONTOTOC HEALTH SERVICES, INC.
Other name(s)
All associated names:

Doing Business As (dba)
Pontotoc Hospital ER Phys
Primary location
176 S MAIN ST
PONTOTOC, MS 38863-3311
Phone: (662) 488-7640 Fax: (662) 488-7675
Mailing address
Same as primary location
Organization Subpart
Yes - PONTOTOC HEALTH SERVICES, INC. is subpart of another organization.
Authorized Official
BRUCE TOPPIN
CORPORATE SECRETARY
Phone: (662) 377-4229
Updated
Certification Date
Jan 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PONTOTOC HEALTH SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS9012148
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)		 MS 16-091

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.