National Provider Identifier Database

WALTHALL COUNTY GENERAL HOSPITAL
Critical Access


Contact Information

WALTHALL COUNTY GENERAL HOSPITAL
100 HOSPITAL DR
TYLERTOWN, MS39667-2022
Phone: 601-876-2122
Fax: 601-222-0432
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for WALTHALL COUNTY GENERAL HOSPITAL

NPI Number 1669593851
Legal business name
LBN
WALTHALL COUNTY GENERAL HOSPITAL
Authorized official JIMMY GRAVES - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 11-257

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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