# NESHOBA COUNTY GENERAL HOSPITAL-NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003946120
- **Authorized official:** MR. MIKE WEEKS (CFO)
- **Authorized official phone:** (601) 663-1367

## Contact information

- **Practice address:** 1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
- **Practice address phone:** (601) 663-1200
- **Practice address fax:** (601) 663-1379
- **Mailing address:** PO BOX 648, PHILADELPHIA, MS 39350-0648
- **Mailing address phone:** (601) 663-1200
- **Mailing address fax:** (601) 663-1379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 097 | MS | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 09/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00050775 | — | MS |