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Organization
SOUTH PIKE HOSPITAL ASSOCIATION, INC.
Active
Organization
SOUTH PIKE HOSPITAL ASSOCIATION, INC.
Active
Other names
Beacham Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY C GELLER (ADMINISTRATOR/CEO)
(601) 783-2353
Entity
Organization
Contact information
Practice address
205 N CHERRY ST, MAGNOLIA, MS 39652-2819
(601) 783-2353
(601) 783-9003
Mailing address
PO BOX 351, MAGNOLIA, MS 39652-0351
(601) 783-2353
(601) 783-9003
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
16-275
MS
282NR1301X
Rural Acute Care Hospital
Primary
16-275
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020043
BLUE CROSS
MS
01
—
000080027
BLUE CROSS
MS
05
—
00020043
—
MS
Enumeration date
08/13/2006
Last updated
11/03/2010
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