Organization
WINSTON COUNTY MEDICAL FOUNDATION
Active
Other names
Winston Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DALE SAULTERS (ADMINISTRATOR)
(662) 779-5101
Entity
Organization
Contact information
Practice address
562 E MAIN ST, LOUISVILLE, MS 39339-2742
(662) 773-6211
(662) 773-6223
Mailing address
562 E MAIN ST, PO BOX 967, LOUISVILLE, MS 39339-2742
(662) 773-6211
(662) 773-6223
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
228
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230020
—
MS
Enumeration date
02/13/2007
Last updated
08/22/2020
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