TYLER HOLMES MEMORIAL HOSPITAL (NPI# 1285649855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285649855 |
| Entity Type | Organization |
| Organization Name | TYLER HOLMES MEMORIAL HOSPITAL |
| Other Organization Name | WINONA FMAILY PRACTICE |
| Practice Address |
700 Woodland Drive Winona MS 38967 |
| Mailing Address |
409 Tyler Holmes Drive Winona MS 38967 |
| Practice Telephone | 6622833060 |
| Practice Fax Number | 6622833553 |
| Mailing Telephone | 6622834114 |
| Mailing Fax Number | 6622833553 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | MR. ROSAMOND TYLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6622834114 |
| Is Organization Subpart | Y |
| Parent Organization Name | TYLER HOLMES MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014346 | 05 |
| Other Name | Type Code |
|---|---|
| Winona Fmaily Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883481 | Tyler Holmes Memorial Hospital | Family Medicine | 504 George Street, North Carrollton, MS 38947 | 2020-05-27 |
| 1730367459 | Tyler Holmes Memorial Hospital | Clinic/Center | 416 Tyler Holmes Dr, Winona, MS 38967-1522 | 2008-02-05 |
| 1841449501 | Tyler Holmes Memorial Hospital | Medicare Defined Swing Bed Unit | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2008-09-17 |
| 1205868627 | Tyler Holmes Memorial Hospital | General Acute Care Hospital | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2006-07-07 |
| Street Address |
700 WOODLAND DRIVE |
| City | WINONA |
| State | MS |
| Zip Code | 38967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831105451 | Deborah M Davis | Nurse Practitioner | 700 Woodland Drive, Winona, MS 38967 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538630835 | Zachary Leon Selby | Occupational Therapist | 1521, 409 Tyler Holmes Dr, Winona, MS 38967 | 2018-12-12 |
| 1275937211 | Tonette Holmes | Community Health Worker | 720 Simpson Dr, Winona, MS 38967 | 2014-10-20 |
| 1124274196 | Family Health Care Clinic, Inc. | Clinic/Center | 123 N Front St, Winona, MS 38967 | 2008-08-11 |
| 1588782577 | Jacquelyn D Lucas | Optometrist | 639 Middleton Rd, Winona, MS 38967 | 2007-03-27 |
| 1154447514 | Robert Manning | Dentist | 1612 Hwy 51 N, Winona, MS 38967 | 2007-03-21 |
| 1518034347 | Hammonds Pharmacy Inc | Pharmacy | 405c N Applegate, Winona, MS 38967 | 2006-11-29 |
| 1336256858 | Kilmichael Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 107 N Front Street, Winona, MS 38967 | 2006-08-23 |
| 1437676962 | Roger Beardain | Pharmacist | 603 Middleton Rd, Winona, MS 38967 | 2017-08-25 |
| 1235323643 | Kilmichael Medical Supplies | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-08-29 |
| 1609076702 | Kilmichael Medical Suppliers | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-07-18 |
| Find all providers in zip 38967 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558497917 | Ozarks Medical Center | Clinic/Center | 9104 State Highway 19, Winona, MO 65588-8389 | 2007-02-27 |
| 1225664949 | Winona Health Services | Clinic/Center | 859 Mankato Ave, Winona, MN 55987-6435 | 2020-03-13 |
| 1528595667 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 418b N Applegate St, Winona, MS 38967-1827 | 2017-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.