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TYLER HOLMES MEMORIAL HOSPITAL EKG NPI 1104075860


NPI Information

NPI: 1104075860
Provider Name: TYLER HOLMES MEMORIAL HOSPITAL EKG
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
409 TYLER HOLMES DR
WINONA, MS
ZIP 38967
Phone: (662) 283-4114
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TYLER HOLMES MEMORIAL HOSPITAL EKG is a specialist in Winona, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TYLER HOLMES MEMORIAL HOSPITAL EKG NPI is 1104075860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

409 TYLER HOLMES DR
WINONA, MS
ZIP 38967-521
Phone: (662) 283-4114
Fax: (662) 283-4640

The provider's authorized official is R M Tyler .
The authorized official title is Administrator and has the following contact phone number (662) 283-6127.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 2/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000019156OTHERMISSISSIPPIBLUE CROSS
2C00070OTHERMISSISSIPPIMEDICARE PTAN
309012469MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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