Organization
TYLER HOLMES MEMORIAL HOSPITAL
Active
Parent organization
TYLER HOLMES MEMORIAL HOSPITAL
Other names
Winona Fmaily Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
TYLER HOLMES MEMORIAL HOSPITAL
Authorized official
MEMORIE LYONS (CLINIC DIRECTOR)
(662) 283-6119
Entity
Organization
Contact information
Practice address
700 WOODLAND DRIVE, WINONA, MS 38967
(662) 283-3060
(662) 283-3553
Mailing address
409 TYLER HOLMES DRIVE, WINONA, MS 38967
(662) 283-4114
(662) 283-3553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000113703
—
MS
05
—
001608351
—
MS
05
—
003029302
—
MS
05
—
003558755
—
MS
05
—
006456342
—
MS
05
—
05586705
—
MS
05
—
09014346
—
MS
01
—
1043662430
NPI
MS
01
—
1144840489
NPI
MS
01
—
1285649855
NPI
MS
01
—
1316557416
NPI
MS
01
—
1497164446
NPI
MS
01
—
1700426707
NPI
MS
01
—
1881600492
NPI
MS
05
—
200007660
—
MS
01
—
2087948
WELLCARE
MS
01
—
2375774
WELLCARE
MS
01
—
2466404
WELLCARE
—
Enumeration date
07/30/2006
Last updated
01/29/2024
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