Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
CCH Clinic Taylorsville
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA L EVANS (CREDENTIALING DIRECTOR)
(601) 698-0328
Entity
Organization
Contact information
Practice address
105 EATON ST, TAYLORSVILLE, MS 39168-5614
(601) 765-6711
(601) 698-0112
Mailing address
105 EATON ST, TAYLORSVILLE, MS 39168-5614
(601) 765-6711
(601) 698-0112
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/13/2023
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