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Contact Information

WALTHALL GENERAL HOSPITAL
100 HOSPITAL DRIVE
TYLERTOWN, MS39667
 Phone: 601-876-2122
 Fax: 601-876-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALTHALL GENERAL HOSPITAL

NPI Number 1245512417
LBN Legal business name WALTHALL GENERAL HOSPITAL
Authorized official BEN HESTER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/14/2011
Last updated 09/12/2017 - About 9 years ago
Identifiers
MS License # 11-257
MS Medicaid 09013588
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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