TALLAHATCHIE GENERAL HOSPITAL NPI 1932591468

NPI Information

NPI: 1932591468
Provider Name: TALLAHATCHIE GENERAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: HOLCOMB CLINIC
CLIA Number: 25D2091547
Address: 1301 SUNSET DR STE E
GRENADA, MS
ZIP 38901
Phone: (662) 229-9787

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NPI Details

TALLAHATCHIE GENERAL HOSPITAL is a rural health clinic center in Grenada, MS. TALLAHATCHIE GENERAL HOSPITAL NPI is 1932591468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holcomb Clinic.

The provider's business location address is:

1301 SUNSET DR STE E
GRENADA, MS
ZIP 38901-103
Phone: (662) 229-9787
Fax: (662) 229-9770

The provider's authorized official is Barbara Crocker .
The authorized official title is Him Director and has the following contact phone number (662) 625-7176.

The CLIA number assigned to this NPI record is 25D2091547 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2015 and was last updated on 12/16/2024.

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
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health		MISSISSIPPI	Yes

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
1	05820575	MEDICAID	MISSISSIPPI

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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