YALOBUSHA GENERAL HOSPITAL (NPI# 1740380914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740380914 |
| Entity Type | Organization |
| Organization Name | YALOBUSHA GENERAL HOSPITAL |
| Other Organization Name | YALOBUSHA GENERAL HOSPITAL PROF FEE |
| Practice Address |
630 S Main St Water Valley MS 38965-3468 |
| Practice Telephone | 6624731403 |
| Practice Fax Number | 6624734922 |
| Mailing Telephone | 6624731403 |
| Mailing Fax Number | 6624734922 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | MR. TERRY VARNER (ADMINISTRATOR) |
| Authorized Official Telephone | 6624731411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 11-223 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS HOSPITAL | 000020175 | 01 |
| MS | BCBS PROFESSIONAL | 000019175 | 01 |
| MS | 00553961 | 05 | |
| MS | RR MEDICARE PROFESSIONAL | CG7236 | 01 |
| MS | RR MEDICARE PROFESSIONAL | DF8375 | 01 |
| Other Name | Type Code |
|---|---|
| Yalobusha General Hospital Prof Fee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073948790 | Yalobusha General Hospital | Clinic/Center | 218 Frostland Dr, Water Valley, MS 38965-2822 | 2013-09-12 |
| 1942547161 | Yalobusha General Hospital | Clinic/Center | 14101 Hickory St., Oakland, MS 38948 | 2013-01-08 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1639236383 | Yalobusha General Hospital | Clinic/Center | 14430 Main St, Coffeeville, MS 38922-2590 | 2007-01-02 |
| 1174069033 | Yalobusha General Hospital | Durable Medical Equipment & Medical Supplies | 420 N Main St, Water Valley, MS 38965-2506 | 2017-01-16 |
| 1386024438 | Yalobusha General Hospital | Nurse Practitioner | 606 S Main St, Water Valley, MS 38965-3468 | 2015-06-04 |
| 1578987889 | Yalobusha General Hospital | Clinic/Center | 14415 Main St, Coffeeville, MS 38922-2589 | 2014-02-06 |
| 1801140082 | Yalobusha General Hospital | Ambulance | 630 S Main St, Water Valley, MS 38965-3468 | 2012-11-09 |
| 1720383862 | Yalobusha General Hospital | Chiropractor | 606 S Main St, Water Valley, MS 38965-3468 | 2011-01-21 |
| 1427265685 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-05-17 |
| Street Address |
630 S MAIN ST |
| City | WATER VALLEY |
| State | MS |
| Zip Code | 38965-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197703 | Grady Madison Kuykendall | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2020-02-26 |
| 1639727134 | Myranda Lancaster | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-08-28 |
| 1699320200 | Matt Defrancisco | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-08-09 |
| 1992269500 | Miranda Wade | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-01-28 |
| 1649762030 | John F Kimball | Speech-Language Pathologist | 630 S Main St, Water Valley, MS 38965-3468 | 2018-06-01 |
| 1285122770 | Brenda Mccullough | Physical Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-04-30 |
| 1215431358 | Christiana Elizabeth Spauldling | Occupational Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-03-22 |
| 1801140082 | Yalobusha General Hospital | Ambulance | 630 S Main St, Water Valley, MS 38965-3468 | 2012-11-09 |
| 1518290386 | Lawanda Herron | Nurse Practitioner | 630 S Main St, Water Valley, MS 38965-3468 | 2009-09-11 |
| 1427265685 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087985 | Family Health Care Clinic, Inc. | Clinic/Center | 102 Blackmur Dr, Water Valley, MS 38965 | 2015-11-02 |
| 1770713893 | Ben F Toole | Counselor | 1285 County Road 151, Water Valley, MS 38965 | 2009-07-23 |
| 1053451880 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 630 South Main St, Water Valley, MS 38965 | 2007-02-08 |
| 1003977281 | Barney Lee Pullen Jr. | Dentist | 117 Wood St, Water Valley, MS 38965 | 2006-12-12 |
| 1912070277 | Water Valley Rural Health Paul Odom Md | Clinic/Center | 645 South Main Street, Water Valley, MS 38965 | 2006-11-16 |
| 1255414173 | Family Practice Clinic of Water Valley | Family Medicine | 606 So Main St, Water Valley, MS 38965 | 2006-10-23 |
| 1073609467 | Paul Leroy Odom | Family Medicine | 604 South Main Street, Water Valley, MS 38965 | 2006-10-05 |
| 1730129164 | Quality Medical Service, Inc | Durable Medical Equipment & Medical Supplies | Quality Medical Services, Inc, 48 S Main Street, Water Valley, MS 38965 | 2006-06-07 |
| 1124687207 | Dontavious Toles | Physical Therapy Assistant | 50 Main St, Water Valley, MS 38965 | 2019-06-11 |
| 1669826111 | Antoinette Taylor | Family Medicine | 604 S Main St, Water Valley, MS 38965 | 2016-04-21 |
| Find all providers in zip 38965 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427265685 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-05-17 |
| 1649397308 | Yalobusha General Hospital | General Acute Care Hospital | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-26 |
| 1972620201 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1578680658 | Yalobusha General Hospital | General Acute Care Hospital | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | WATER VALLEY |
| Zip Code | 38965 |
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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.