Organization
TYLER HOLMES MEMORIAL HOSPITAL XRAY
Active
Parent organization
TYLER HOLMES MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TYLER HOLMES MEMORIAL HOSPITAL
Authorized official
MR. R M TYLER (ADMINISTRATOR)
(662) 283-6127
Entity
Organization
Contact information
Practice address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-4640
Mailing address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
(662) 283-4640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019156
BLUE CROSS
MS
05
—
09012469
—
MS
01
—
C00073
MEDICARE PTAN
MS
Enumeration date
02/05/2009
Last updated
02/05/2009
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