| Tyler Holmes Memorial Hospital | |
|
700 Woodland Drive Winona MS 38967 | |
| (662) 283-3060 | |
| (662) 283-3553 |
| Full Name | Tyler Holmes Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Woodland Drive, Winona, 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 Drive Winona MS 38967 Ph: (662) 283-4114 | Tyler Holmes Memorial Hospital 700 Woodland Drive Winona MS 38967 Ph: (662) 283-3060 |
| NPI Number | 1285649855 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0345142618 |
|---|---|
| Medicare Enrollment ID | O20040126000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285649855 | NPI | - | NPPES |
| 1144840489 | Other | MS | NPI |
| 05586705 | Medicaid | MS | |
| 1316557416 | Other | MS | NPI |
| 2466404 | Other | WELLCARE | |
| 000113703 | Medicaid | MS | |
| 003558755 | Medicaid | MS | |
| 1497164446 | Other | MS | NPI |
| 1700426707 | Other | MS | NPI |
| 09014346 | Medicaid | MS | |
| 1881600492 | Other | MS | NPI |
| 200007660 | Medicaid | MS | |
| 2087948 | Other | MS | WELLCARE |
| 2375774 | Other | MS | WELLCARE |
| 006456342 | Medicaid | MS | |
| 1043662430 | Other | MS | NPI |
| 001608351 | Medicaid | MS | |
| 003029302 | Medicaid | MS | |
| 1285649855 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Steven K Rushing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881600492 PECOS PAC ID: 1254325368 Enrollment ID: I20040412001533 |
| Provider Name | Gene D Cathey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811918246 PECOS PAC ID: 5092718593 Enrollment ID: I20060823000574 |
| Provider Name | Amy G Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689896763 PECOS PAC ID: 5597866228 Enrollment ID: I20070725000768 |
| Provider Name | Steven D Gammel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659550127 PECOS PAC ID: 9032275896 Enrollment ID: I20090303000048 |
| Provider Name | William B Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568502714 PECOS PAC ID: 1658546536 Enrollment ID: I20111205000051 |
| Provider Name | Mary H Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497164446 PECOS PAC ID: 2163644121 Enrollment ID: I20141107000670 |
| Provider Name | Maggie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730550419 PECOS PAC ID: 7517258247 Enrollment ID: I20160804001111 |
| Provider Name | Sabrina B Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043662430 PECOS PAC ID: 7416953047 Enrollment ID: I20160913000669 |
| Provider Name | Julia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426707 PECOS PAC ID: 4385079151 Enrollment ID: I20200124001442 |
| Provider Name | Elizabeth B Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144840489 PECOS PAC ID: 8729407432 Enrollment ID: I20200930000684 |
| Provider Name | Stephanie M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316557416 PECOS PAC ID: 3476967779 Enrollment ID: I20210128000019 |
| Provider Name | Amy M Gammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861990111 PECOS PAC ID: 5395143028 Enrollment ID: I20211012000347 |
| Provider Name | Brittany Nicole Allbritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760217566 PECOS PAC ID: 8820527286 Enrollment ID: I20250130000084 |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 N Front St, Winona, MS 38967 Phone: 601-825-7280 Fax: 601-825-8130 | |
Tyler Holmes Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Tyler Holmes Dr, Winona, MS 38967 Phone: 662-283-5295 Fax: 662-283-5296 | |
Brown's Telehealth Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Montgomery St, Winona, MS 38967 Phone: 662-392-1249 | |
State Of Mississippi - University Of Mississippi Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418b N Applegate St, Winona, MS 38967 Phone: 662-283-4433 | |
Hospitalmd Of Winona, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Tyler Holmes Dr, Winona, MS 38967 Phone: 662-283-4114 | |
Tyler Holmes Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Woodland Dr, Winona, MS 38967 Phone: 662-283-8205 Fax: 662-283-6747 |