| Yalobusha General Hospital | |
|
14415 Main St Coffeeville MS 38922-2589 | |
| (662) 473-5143 | |
| (662) 473-4991 |
| Full Name | Yalobusha General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 14415 Main St, Coffeeville, Mississippi |
| Authorized Official Name and Position | Vanessa L Carvan (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 6624735143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yalobusha General Hospital 14415 Main St Coffeeville MS 38922-2589 Ph: (662) 473-5143 | Yalobusha General Hospital 14415 Main St Coffeeville MS 38922-2589 Ph: (662) 473-5143 |
| NPI Number | 1578987889 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Medicare PECOS PAC ID | 4486601648 |
|---|---|
| Medicare Enrollment ID | O20140819001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578987889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Yalobusha General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14430 Main St, Coffeeville, MS 38922 Phone: 662-675-2500 Fax: 662-675-2501 |