Tyler Holmes Memorial Hospital Xray

LBN: Tyler Holmes Memorial Hospital Xray
Tyler Holmes Memorial Hospital Xray is an health care organization with primary practice located at 409 Tyler Holmes Dr , Winona MS 38967-1521. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tyler Holmes Memorial Hospital Xray can be contacted via phone (662) 283-4114, or through Tyler, R M via phone (662) 283-6127.

Contact Information

Primary practice address
409 Tyler Holmes Dr Winona MS 38967-1521
Fax: (662) 283-4640
Website:
Authorized official contact:
Name: Tyler, R M

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1407095060
LBN Legal business name Tyler Holmes Memorial Hospital Xray
DBA Doing business as
Authorized official Tyler, R M
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2009
Last updated Feb 5th, 2009 - about 17 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 1407095060 NPPES
Mississippi MEDICAID 09012469
Mississippi Other 000019156
Mississippi Other C00073

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