# WINSTON COUNTY MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winston Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588705156
- **Authorized official:** DALE SAULTERS (ADMINISTRATOR)
- **Authorized official phone:** (662) 779-5101

## Contact information

- **Practice address:** 562 E MAIN ST, LOUISVILLE, MS 39339-2742
- **Practice address phone:** (662) 773-6211
- **Practice address fax:** (662) 773-6223
- **Mailing address:** 562 E MAIN ST, PO BOX 967, LOUISVILLE, MS 39339-2742
- **Mailing address phone:** (662) 773-6211
- **Mailing address fax:** (662) 773-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 16-208 | MS | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020