Organization
STONE COUNTY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY HARRELL (CHIEF FINANCIAL OFFICER)
(601) 928-5004
Entity
Organization
Contact information
Practice address
1434 CENTRAL AVE E, P O DRAWER 97, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Mailing address
1434 CENTRAL AVE E, P O DRAWER 97, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
12280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00019707
BLUE CROSS
MS
01
—
00019707A
BLUE CROSS
MS
01
—
00020707
BLUE CROSS
MS
05
—
00220714
—
MS
05
—
02550263
—
MS
05
—
09015938
—
MS
05
—
09278803
—
MS
Enumeration date
08/09/2006
Last updated
06/09/2016
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