| Tyler Holmes Memorial Hospital | |
|
504 George Street North Carrollton MS 38947 | |
| (662) 989-1574 | |
| (662) 989-1569 |
| Full Name | Tyler Holmes Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 George Street, North Carrollton, Mississippi |
| Authorized Official Name and Position | Memorie Lyons (CLINIC DIRECTOR) |
| Authorized Official Contact | 6622836119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Holmes Memorial Hospital 409 Tyler Holmes Dr Winona MS 38967-1521 Ph: (662) 283-4114 | Tyler Holmes Memorial Hospital 504 George Street North Carrollton MS 38947 Ph: (662) 989-1574 |
| NPI Number | 1548883481 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 0345142618 |
|---|---|
| Medicare Enrollment ID | O20201117002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548883481 | NPI | - | NPPES |
| 001608351 | Medicaid | MS | |
| 001709891 | Medicaid | MS | |
| 1700426707 | Other | MS | NPI |
| 1497164446 | Other | MS | NPI |
| 2466404 | Other | MS | WELLCARE |
| 000015590 | Medicaid | MS | |
| 200007660 | Medicaid | MS | |
| 1548883481 | Other | MS | NPI |
| 1568502714 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dr Susan Jenay Neely Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 George St, North Carrollton, MS 38947 Phone: 662-237-4525 Fax: 662-237-9781 |