Organization
TALLAHATCHIE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CROCKER (BILLING MANAGER)
(662) 625-7176
Entity
Organization
Contact information
Practice address
141 DR. T T LEWIS CIRCLE, CHARLESTON, MS 38921-2236
(662) 647-5535
(662) 647-3677
Mailing address
PO BOX 230, 141 DR. TT LEWIS CIRCLE, CHARLESTON, MS 38921-0240
(662) 647-5535
(662) 647-3677
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
11-211
MS
282NC0060X
Critical Access Hospital
Primary
11-211
MS
Other
Enumeration date
08/09/2005
Last updated
12/16/2024
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