Organization
WALTHALL COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY LIN GRAVES FACHE (ADMINISTRATOR)
(601) 876-2122
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, TYLERTOWN, MS 39667-2022
(601) 876-2122
(601) 222-0432
Mailing address
100 HOSPITAL DR, TYLERTOWN, MS 39667-2022
(601) 876-2122
(601) 222-0432
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
11-257
MS
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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