Organization
YALOBUSHA GENERAL HOSPITAL
Active
Other names
Yalobusha General Hospital Prof Fee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY VARNER (ADMINISTRATOR)
(662) 473-1411
Entity
Organization
Contact information
Practice address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1403
(662) 473-4922
Mailing address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1403
(662) 473-4922
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11-223
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019175
BCBS PROFESSIONAL
MS
01
—
000020175
BCBS HOSPITAL
MS
05
—
00553961
—
MS
01
—
654763
PROFESSIONAL FEES
MS
01
—
CG7236
RR MEDICARE PROFESSIONAL
MS
01
—
DF8375
RR MEDICARE PROFESSIONAL
MS
01
—
DZ0522
RR MEDICARE PROFESSIONAL
MS
Enumeration date
09/25/2006
Last updated
08/02/2022
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