| Laird Hospital, Inc. | |
|
14884 Highway 15 Decatur MS 39327 | |
| (601) 635-2258 | |
| (601) 635-2259 |
| Full Name | Laird Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14884 Highway 15, Decatur, Mississippi |
| Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
| Authorized Official Contact | 6017039614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laird Hospital, Inc. Dept. 3023 Po Box 1000 Memphis TN 38148-3023 Ph: (601) 213-3010 | Laird Hospital, Inc. 14884 Highway 15 Decatur MS 39327 Ph: (601) 635-2258 |
| NPI Number | 1033460878 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 7214991769 |
|---|---|
| Medicare Enrollment ID | O20130814000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033460878 | NPI | - | NPPES |
| 002276065 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |