Healthcare Provider Details

I. General information

NPI: 1144339839
Provider Name (Legal Business Name): SIMPSON COMMUNITY HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 SIMPSON HIGHWAY 149
MENDENHALL MS
39114-3438
US

IV. Provider business mailing address

1842 SIMPSON HIGHWAY 149
MENDENHALL MS
39114-3438
US

V. Phone/Fax

Practice location:
  • Phone: 601-847-2221
  • Fax: 601-847-7104
Mailing address:
  • Phone: 601-847-2221
  • Fax: 601-847-7104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number11216
License Number StateMS

VIII. Authorized Official

Name: MRS. AUDREY WEDGEWORTH
Title or Position: CFO
Credential:
Phone: 601-847-7214