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Organization

WINSTON COUNTY MEDICAL FOUNDATION

Active
Other names
Winston Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES MATTHEW WOODWARD (CONTROLLER)
(662) 446-1072
Entity
Organization

Contact information

Practice address
17550 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 773-6211
(662) 446-1039
Mailing address
PO BOX 967, LOUISVILLE, MS 39339-0967
(662) 773-6211
(662) 773-6223

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16-208
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014006
MS
01
19155
BLUE CROSS ERP
MS
01
C00158
CAHABA
MS
01
C02067
CAHABA
MS
01
CA9070
RAILROAD MEDICARE
MS
01
CC0523
RAILROAD MEDICARE
MS
Enumeration date
03/07/2007
Last updated
12/10/2019
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