TALLAHATCHIE GENERAL HOSPITAL (NPI# 1679733497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679733497 |
| Entity Type | Organization |
| Organization Name | TALLAHATCHIE GENERAL HOSPITAL |
| Practice Address |
201 S Market St Pob 230 Charleston MS 38921-2236 |
| Practice Telephone | 6626475535 |
| Practice Fax Number | 6626478432 |
| Mailing Telephone | 6626475535 |
| Mailing Fax Number | 6626478432 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MRS. BERNIDIENNE CARSON LATTIMORE (BILLING MANAGER) |
| Authorized Official Telephone | 6626475535 |
| Authorized Official Credential | CBCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11-211 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00020161 | 05 | |
| MS | 09012481 | 05 | |
| MS | BLUE CROSS AND BLUE SHIELD OF MS | 000020161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932591468 | Tallahatchie General Hospital | Family Medicine | 195 Highway 35 S, Holcomb, MS 38940 | 2015-02-20 |
| 1346734373 | Tallahatchie General Hospital | Pharmacy | 109 W Walnut St, Charleston, MS 38921-2242 | 2018-06-22 |
| 1609322205 | Tallahatchie General Hospital | Clinic/Center | 205 Alma St, Tutwiler, MS 38963-5067 | 2016-09-01 |
| 1215267232 | Tallahatchie General Hospital | General Acute Care Hospital | 201 S Market St, Charleston, MS 38921-2236 | 2010-01-14 |
| 1194860502 | Tallahatchie General Hospital | Clinic/Center | 401 S Church St, Charleston, MS 38921-2257 | 2007-02-21 |
| 1992706303 | Tallahatchie General Hospital | Medicare Defined Swing Bed Unit | 201 S Market St, Charleston, MS 38921-2236 | 2005-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHATCHIE GENERAL HOSPITAL & EXTENDED CARE FACILITY | 201 S Market St, Charleston, MS 38921-2236 |
| System for Award Management (SAM) Entities | TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION | 201 S Market St, Charleston, MS 38921-2236 |
| Street Address |
201 S MARKET ST POB 230 |
| City | CHARLESTON |
| State | MS |
| Zip Code | 38921-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215267232 | Tallahatchie General Hospital | General Acute Care Hospital | 201 S Market St, Charleston, MS 38921-2236 | 2010-01-14 |
| 1326275611 | Michael Chad Bagwell | Physical Therapy Assistant | 201 S Market St, Charleston, MS 38921-2236 | 2009-06-15 |
| 1992706303 | Tallahatchie General Hospital | Medicare Defined Swing Bed Unit | 201 S Market St, Charleston, MS 38921-2236 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1588015341 | Kyle Wiggins | Dentist | 203 South Market St, Charleston, MS 38921 | 2016-06-23 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1316152010 | Wolfe Family Medical Clinic Pllc | Clinic/Center | 203 E Walnut St, Charleston, MS 38921 | 2007-05-14 |
| 1962617530 | East Tallahatchie Schools | Registered Nurse | 35 Oak Grove Road, Charleston, MS 38921 | 2007-05-14 |
| 1518052661 | Carlene Maynor Wolfe | Nurse Practitioner | 204 East Walnut Street, Charleston, MS 38921 | 2006-10-04 |
| 1003921172 | James Oscar Wilde Jr. | Family Medicine | 201 S. Market St., Charleston, MS 38921 | 2006-08-20 |
| 1851919658 | Delta Med South, Inc. | Durable Medical Equipment & Medical Supplies | 7 Court Sq, Charleston, MS 38921 | 2020-07-08 |
| 1932616950 | Sharon Bradley | Homemaker | 29 Nell St, Charleston, MS 38921-1424 | 2017-12-30 |
| 1649595505 | Lasuna M Curry | Counselor | 17 N Market St, Charleston, MS 38921-1524 | 2010-04-05 |
| Find all providers in zip 38921 | ||||
| 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 |
|---|---|---|---|---|
| 1518164037 | Charleston Area Medical Center | General Acute Care Hospital | 3110 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-28 |
| 1427189661 | Charleston Area Medical Center | General Acute Care Hospital | 1694 Mount Alpha Rd, Charleston, WV 25304-2731 | 2007-03-08 |
| 1215267232 | Tallahatchie General Hospital | General Acute Care Hospital | 201 S Market St, Charleston, MS 38921-2236 | 2010-01-14 |
| 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 | ||||
| City | CHARLESTON |
| Zip Code | 38921 |
Please comment or provide details below to improve the information on TALLAHATCHIE GENERAL HOSPITAL.
| 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.