Crossroads Family Medicine

LBN: Tyler Holmes Memorial Hospital
Crossroads Family Medicine is an health care organization with primary practice located at 702 Woodland Dr , Winona MS 38967-1530. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Tyler Holmes Memorial Hospital can be contacted via phone (662) 283-8205, or through Lyons, Memorie via phone (662) 283-6119.

Contact Information

Primary practice address
702 Woodland Dr Winona MS 38967-1530
Phone: (662) 283-8205
Fax: (662) 283-6747
Website:
Map and Directions
Authorized official contact:
Name: Lyons, Memorie
Phone: (662) 283-6119

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1730367459
LBN Legal business name Tyler Holmes Memorial Hospital
DBA Doing business as Crossroads Family Medicine
Authorized official Lyons, Memorie
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2008
Last updated Jan 29th, 2024 - about 2 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 1730367459 NPPES
Mississippi MEDICAID 008203508
Mississippi Other 2070889
Mississippi MEDICAID 8009711
Mississippi MEDICAID 005330334
Mississippi MEDICAID 007870552
Mississippi Other 1497164446
Mississippi Other 1730367459
Mississippi Other 1730550419
Mississippi MEDICAID 200007660
Mississippi Other 2163489
Mississippi MEDICAID 08203508
Mississippi Other 1659550127

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