Provider Demographics
NPI:1063667939
Name:NEWTON HOSPITAL, INC
Entity Type:Organization
Organization Name:NEWTON HOSPITAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-683-0279
Mailing Address - Street 1:P O BOX 299
Mailing Address - Street 2:9421 EAST SIDE DRIVE EXTENTION
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345
Mailing Address - Country:US
Mailing Address - Phone:601-683-2031
Mailing Address - Fax:601-683-0264
Practice Address - Street 1:9421 EASTSIDE DRIVE EXTENTION
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345
Practice Address - Country:US
Practice Address - Phone:601-683-2031
Practice Address - Fax:601-683-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS13-321282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS25U149Medicare Oscar/Certification