WALTHALL COUNTY GENERAL HOSPITAL (NPI# 1669593851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669593851 |
| Entity Type | Organization |
| Organization Name | WALTHALL COUNTY GENERAL HOSPITAL |
| Practice Address |
100 Hospital Dr Tylertown MS 39667-2022 |
| Practice Telephone | 6018762122 |
| Practice Fax Number | 6012220432 |
| Mailing Telephone | 6018762122 |
| Mailing Fax Number | 6012220432 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JIMMY LIN GRAVES (ADMINISTRATOR) |
| Authorized Official Telephone | 6018762122 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11-257 | MS | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225159411 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2007-04-03 |
| 1609822659 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2006-05-25 |
| Street Address |
100 HOSPITAL DR |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447968 | Keystone Hospitalist Services of Ms Inc | Hospitalist | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2013-01-25 |
| 1023326485 | Walthall General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2010-09-20 |
| 1225159411 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2007-04-03 |
| 1598784621 | Peter Andrew Bundgard | Emergency Medicine | 100 Hospital Dr, Walthall County General Hospital, Tylertown, MS 39667-2022 | 2006-07-19 |
| 1518983337 | Symphony Respiratory Services | Durable Medical Equipment & Medical Supplies | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2006-07-14 |
| 1609822659 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1023326485 | Walthall General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2010-09-20 |
| 1225159411 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2007-04-03 |
| 1609822659 | Walthall County General Hospital | General Acute Care Hospital | 100 Hospital Dr, Tylertown, MS 39667-2022 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 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.