Organization
AMORY HMA LLC
Active
Other names
Merit Health Gilmore Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6002
(662) 256-6007
Mailing address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6002
(662) 256-6007
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
12074
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020003
—
MS
01
—
186
BLUE CROSS
AL
01
—
20003
BLUE CROSS
MS
Enumeration date
05/23/2006
Last updated
05/06/2015
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