Extended Care Facility

LBN: Tallahatchie General Hospital And Extended Care Facility
Extended Care Facility is an health care organization with primary practice located at 141 Dr T. T. Lewis Circle , Charleston MS 38921. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Tallahatchie General Hospital And Extended Care Facility can be contacted via phone (662) 647-5535, or through Vest, Tina Rene via phone (662) 625-7111.

Contact Information

Primary practice address
141 Dr T. T. Lewis Circle Charleston MS 38921
Phone: (662) 647-5535
Fax: (662) 647-8432
Website:
Map and Directions
Authorized official contact:
Name: Vest, Tina Rene
Phone: (662) 625-7111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 1054 Mississippi

Profile Details

NPI number 1659555761
LBN Legal business name Tallahatchie General Hospital And Extended Care Facility
DBA Doing business as Extended Care Facility
Authorized official Vest, Tina Rene
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Jul 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659555761 NPPES
Mississippi MEDICAID 00023141

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