| Tallahatchie General Hospital | |
|
171 Dr. T T Lewis Circle Charleston MS 38921-2257 | |
| (662) 647-5535 | |
| (662) 647-8432 |
| Full Name | Tallahatchie General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 Dr. T T Lewis Circle, Charleston, Mississippi |
| Authorized Official Name and Position | Barbara Dover Crocker (HIM DIRECTOR) |
| Authorized Official Contact | 6626257176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahatchie General Hospital Po Box 230 Charleston MS 38921-0240 Ph: (662) 647-5535 | Tallahatchie General Hospital 171 Dr. T T Lewis Circle Charleston MS 38921-2257 Ph: (662) 647-5535 |
| NPI Number | 1194860502 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 04/09/2025 |
| Medicare PECOS PAC ID | 1052208097 |
|---|---|
| Medicare Enrollment ID | O20100707000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194860502 | NPI | - | NPPES |
| 09014008 | Medicaid | MS | |
| ========= | Other | MS | BLUE CROSS |
| ========= | Other | MS | STATE OF MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wolfe Family Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E Walnut St, Charleston, MS 38921 Phone: 662-647-0900 Fax: 662-647-0938 |