Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MCNAIR (CFO)
(601) 663-1233
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1379
Mailing address
PO BOX 648, PHILADELPHIA, MS 39350-0648
(601) 663-1200
(601) 663-1379
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
11227
MS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019181
BLUE CROSS
MS
05
—
09013199
—
MS
01
—
450000033
MEDICARE MAMMOGRAPHY SCREENING
MS
Enumeration date
03/07/2007
Last updated
11/04/2022
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