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Organization

TYLER HOLMES MEMORIAL HOSPITAL

Active
Parent organization
TYLER HOLMES MEMORIAL HOSPITAL
Other names
Crossroads Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
TYLER HOLMES MEMORIAL HOSPITAL
Authorized official
CORI H BAILEY (CEO)
(662) 283-6126
Entity
Organization

Contact information

Practice address
702 WOODLAND DR, WINONA, MS 38967-1530
(662) 283-8205
(662) 283-6747
Mailing address
702 WOODLAND DR, WINONA, MS 38967-1530
(662) 283-8205
(662) 283-6747

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005330334
MS
05
007870552
MS
05
008203508
MS
05
08203508
MS
01
1497164446
NPI
MS
01
1659550127
NPI
MS
01
1730367459
NPI
MS
01
1730550419
NPI
MS
05
200007660
MS
01
2070889
WELLCARE
MS
01
2163489
WELLCARE
MS
05
8009711
MS
Enumeration date
02/05/2008
Last updated
02/10/2026
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