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Organization
PHYSICIANS AND SURGEONS HOSPITAL GROUP
Active
Organization
PHYSICIANS AND SURGEONS HOSPITAL GROUP
Active
Other names
Tri Lakes Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCE BRUMMETT (COO)
(662) 563-5611
Entity
Organization
Contact information
Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606
(662) 712-2377
(662) 712-2481
Mailing address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606
(662) 712-2377
(662) 712-2481
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
11287
MS
275N00000X
Medicare Defined Swing Bed Hospital Unit
11287
MS
282N00000X
General Acute Care Hospital
Primary
11287
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020229
—
MS
05
—
00029229
—
MS
05
—
00050874
—
MS
05
—
00855504
—
MS
01
—
20229
BC
MS
Enumeration date
10/06/2006
Last updated
08/12/2008
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