Organization
SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Active
Other names
Trace Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CEO)
(662) 456-3700
Entity
Organization
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2417
(662) 456-1163
(662) 456-1159
Mailing address
PO BOX 626, HOUSTON, MS 38851-0626
(662) 456-1163
(662) 456-1159
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12-296
MS
Other
Enumeration date
11/14/2007
Last updated
01/18/2024
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