PROMISE HOSPITAL OF VICKSBURG INC – NPI #1932168416
Long Term Care Hospital

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

PROMISE HOSPITAL OF VICKSBURG INC is a long term care hospital located in VICKSBURG, MS. NPPES has assigned the NPI number 1932168416 to PROMISE HOSPITAL OF VICKSBURG INC on March 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282E00000X from the Health Care Provider Taxonomy code set, which is classified as Long Term Care Hospital.

The NPI profile was previously updated about 8 years ago on May 16, 2018. 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 PROMISE HOSPITAL OF VICKSBURG INC below.

NPI Profile for
PROMISE HOSPITAL OF VICKSBURG INC

NPI Number
1932168416
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
PROMISE HOSPITAL OF VICKSBURG INC
Primary location
2100 HIGHWAY 61 N FL 6
VICKSBURG, MS 39183
Phone: (601) 883-3265 Fax: (601) 883-3279
1 Other location(s):
1111 N Frontage Rd
2ND FLOOR
Vicksburg, MS 39180-5102
Phone: (601) 619-3526
Fax: (601) 619-3071
Mailing address
999 YAMATO ROAD
3RD FLOOR
BOCA RATON, FL 33431
Phone: (561) 869-3100 Fax: (561) 826-0171
Organization Subpart
No
Authorized Official
JAMES HOPWOOD
CFO
Phone: (561) 869-3100
Updated
Identifiers

Identifiers for PROMISE HOSPITAL OF VICKSBURG 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
OTHERBLUE CROSS REGULAR PROV #MS000020813
OTHERBLUE CROSS STATE EMPLOYEEMS000021834
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
282E00000X
- Long Term Care Hospital (Primary)
MS 22-334

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.