EAST CENTRAL MISSISSIPPI HEALTH CARE, INC – NPI #1255387619
Clinic/Center

EAST CENTRAL MISSISSIPPI HEALTH CARE, INC is an AHC clinic located in WALNUT GROVE, MS. NPPES has assigned the NPI number 1255387619 to EAST CENTRAL MISSISSIPPI HEALTH CARE, INC on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Apr 24, 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 EAST CENTRAL MISSISSIPPI HEALTH CARE, INC below.

NPI Profile for
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC

NPI Number
1255387619
Enumeration Date

(more than 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
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC
Primary location
199 RIMMER ST
WALNUT GROVE, MS 39189
Phone: (601) 253-2733 Fax: (601) 253-2733
Mailing address
PO BOX 142
SEBASTOPOL, MS 39359
Phone: (601) 625-7140 Fax: (601) 625-7199
Organization Subpart
No
Authorized Official
JILL BISHOP
CEO
Phone: (601) 625-7140
Updated
Certification Date
Apr 24, 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 EAST CENTRAL MISSISSIPPI HEALTH CARE, 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
otherRAILROAD MEDICAREDA1146
medicaidMS09013670
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

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.