Organization
TALLAHATCHIE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GODSEY (REVENUE CYCLE MANAGER)
(662) 625-7191
Entity
Organization
Contact information
Practice address
141 DR. T.T. LEWIS CIRCLE, CHARLESTON, MS 38921
(662) 647-5535
(662) 647-8432
Mailing address
PO BOX 230, CHARLESTON, MS 38921-0240
(662) 647-5535
(662) 647-8432
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
282NC0060X
Critical Access Hospital
Primary
11-211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020161
BLUE CROSS AND BLUE SHIELD OF MS
MS
05
—
00020161
—
MS
05
—
09012481
—
MS
Enumeration date
06/16/2008
Last updated
05/28/2025
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