Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Parent organization
NESHOBA COUNTY GENERAL HOSPITAL
Other names
Neshoba Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Authorized official
MR. GARY LEE MCCALL JR. (CEO)
(601) 663-1360
Entity
Organization
Contact information
Practice address
213 HOSPITAL RD W, PHILADELPHIA, MS 39350-2211
(601) 663-1210
(601) 663-1211
Mailing address
213 HOSPITAL RD W, PHILADELPHIA, MS 39350-2211
(601) 663-1210
(601) 663-1211
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
258559
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06322054
—
MS
05
—
07089504
—
MS
01
—
25-8559
MEDICARE PART A
MS
Enumeration date
07/18/2006
Last updated
08/05/2016
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