# TISHOMINGO HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TISHOMINGO HEALTH SERVICES, INC.
- **Other names:** Tishomingo Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265543516
- **Legal business name:** TISHOMINGO HEALTH SERVICES, INC.
- **Authorized official:** MR. JOSEPH A REPPERT (CFO)
- **Authorized official phone:** (662) 377-3978

## Contact information

- **Practice address:** 1777 CURTIS DR, IUKA, MS 38852
- **Practice address phone:** (662) 423-4074
- **Practice address fax:** (662) 423-4550
- **Mailing address:** 1777 CURTIS DR, IUKA, MS 38852
- **Mailing address phone:** (662) 423-4074
- **Mailing address fax:** (662) 423-4550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 13-221 | MS | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0050405 | — | MS |