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Organization
YALOBUSHA GENERAL HOSPITAL
Active
Organization
YALOBUSHA GENERAL HOSPITAL
Active
Other names
Yalobusha General Hospital Prof Fee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY VARNER (ADMINISTRATOR)
(662) 473-1411
Entity
Organization
Contact information
Practice address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1403
(662) 473-4922
Mailing address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1403
(662) 473-4922
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11-223
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019175
BCBS PROFESSIONAL
MS
01
—
000020175
BCBS HOSPITAL
MS
05
—
00553961
—
MS
01
—
654763
PROFESSIONAL FEES
MS
01
—
CG7236
RR MEDICARE PROFESSIONAL
MS
01
—
DF8375
RR MEDICARE PROFESSIONAL
MS
01
—
DZ0522
RR MEDICARE PROFESSIONAL
MS
Enumeration date
09/25/2006
Last updated
08/02/2022
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