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
562 E MAIN ST, LOUISVILLE, MS 39339-2742
(662) 773-6211
(662) 773-6223
Mailing address
PO BOX 967, LOUISVILLE, MS 39339-0967
(662) 773-6211
(662) 773-6223
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
208
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230020
—
MS
Enumeration date
03/07/2007
Last updated
11/30/2021
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