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Organization
AMORY HMA LLC
Active
Organization
AMORY HMA LLC
Active
Other names
Merit Health Gilmore Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6002
(662) 256-6007
Mailing address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6002
(662) 256-6007
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
12074
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020003
—
MS
01
—
186
BLUE CROSS
AL
01
—
20003
BLUE CROSS
MS
Enumeration date
05/23/2006
Last updated
05/06/2015
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