WALTHALL COUNTY GENERAL HOSPITAL; NPI #1669593851

Contact Information

WALTHALL COUNTY GENERAL HOSPITAL

100 HOSPITAL DR
TYLERTOWN, MS 39667-2022

Phone: 601-876-2122
Fax: 601-222-0432
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for WALTHALL COUNTY GENERAL HOSPITAL

NPI Number 1669593851

LBN Legal business name WALTHALL COUNTY GENERAL HOSPITAL

Authorized official JIMMY GRAVES - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/03/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

11-257

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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