WALTHALL GENERAL HOSPITAL NPI 1245512417

NPI Information

  • NPI: 1245512417
  • Provider Name: WALTHALL GENERAL HOSPITAL
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 100 HOSPITAL DRIVE
    TYLERTOWN, MS
    ZIP 39667
  • Phone: (601) 876-2122

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NPI Details

WALTHALL GENERAL HOSPITAL is an emergency medicine in Tylertown, MS. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WALTHALL GENERAL HOSPITAL NPI is 1245512417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HOSPITAL DRIVE
TYLERTOWN, MS
ZIP 39667
Phone: (601) 876-2122
Fax: (601) 876-0432

The provider's authorized official is Ben Hester .
The authorized official title is Cfo and has the following contact phone number (601) 288-4225.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 9/12/2017.

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
1207P00000XEmergency Medicine11-257MISSISSIPPIYes
2207R00000XInternal Medicine11-257MISSISSIPPINo

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
109013588MEDICAIDMISSISSIPPI

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: 11/21/2025

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