Organization
TYLER HOLMES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORI BAILEY (ADMINISTRATOR)
(662) 283-4114
Entity
Organization
Contact information
Practice address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-4640
Mailing address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-4640
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015590
—
MS
01
—
000019156
BLUE CROSS OF MS-PRO FEE
MS
01
—
000020156
BLUE CROSS OF MS-UB
MS
01
—
000080036
BLUE CROSS OF MS-SWBED
MS
05
—
000113703
—
MS
05
—
00020156
—
MS
05
—
007870552
—
MS
Enumeration date
07/07/2006
Last updated
01/29/2024
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