Hattiesburg Convalescent Home, Inc.
NPI 1366584708ActiveOrganization· Pharmacist· Hattiesburg, MS
Pharmacist in Hattiesburg, Mississippi, registered in NPPES in February 2007. The authorized official on file is Jewell C. McMahan, Administrator.
Overview
| NPI | 1366584708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 0017704.1 | MS |
| Skilled Nursing Facility | 314000000X | 25 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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