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Organization

STONE COUNTY HOSPITAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE C ODOM (BUSINESS OFFICE MANGER)
(601) 928-6620
Entity
Organization

Contact information

Practice address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Mailing address
1434 CENTRAL AVE E, 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
05
09015938
MS
Enumeration date
09/18/2008
Last updated
12/04/2008
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