Organization
HARDY WILSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN S. BERCH (CFO)
(601) 894-4541
Entity
Organization
Contact information
Practice address
233 MAGNOLIA ST, HAZLEHURST, MS 39083-2228
(601) 894-6211
Mailing address
233 MAGNOLIA ST, HAZLEHURST, MS 39083-2228
(601) 894-6211
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
11-164
MS
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013467
—
MS
Enumeration date
03/08/2010
Last updated
03/08/2010
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