# KILMICHAEL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kilmichael Hospital Swingbed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487863692
- **Authorized official:** MR. CALVIN DEXTER JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (662) 262-4311

## Contact information

- **Practice address:** 301 LAMAR AVE, KILMICHAEL, MS 39747
- **Practice address phone:** (662) 262-4311
- **Practice address fax:** (662) 262-5586
- **Mailing address:** PO BOX 188, KILMICHAEL, MS 39747-0188
- **Mailing address phone:** (662) 262-4311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 21-183 | MS | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020