Organization
YALOBUSHA GENERAL HOSPITAL
Active
Other names
ODOM RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L VARNER (ADMINISTRATOR)
(662) 473-1411
Entity
Organization
Contact information
Practice address
645 SOUTH MAIN STREET, WATER VALLEY, MS 38965
(662) 473-1311
Mailing address
645 HWY 7 SOUTH, WATER VALLEY, MS 38965-0645
(662) 473-1311
(662) 473-4922
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013597
—
MS
Enumeration date
12/13/2006
Last updated
12/10/2007
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