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Organization
YALOBUSHA GENERAL HOSPITAL
Active
Organization
YALOBUSHA GENERAL HOSPITAL
Active
Other names
Yalobusha County Ambulance
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) 473-1411
(662) 473-4922
Mailing address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1411
(662) 473-4922
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
158, YALOBUSHA
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020175
BLUE CROSS
MS
05
—
00553961
—
MS
Enumeration date
11/09/2012
Last updated
11/09/2012
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