NPIMap

Organization Active NPI

Yalobusha General Hospital

  • Durable Medical Equipment & Medical Supplies
  • Water Valley, MS
National Provider Identifier
1174069033
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YALOBUSHA GENERAL HOSPITAL
Practice address
420 N Main St
Water Valley, MS 38965-2506
Phone
(662) 473-1411
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Varner
Title
Ceo
Phone
(662) 473-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

420 N Main St
Water Valley, MS 38965-2506

Mailing address

420 N Main St
Water Valley, MS 38965-2506
Phone (662) 473-1411

Other names 1

  • Yalobusha Durable Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

14430 Main St
Coffeeville, MS 38922
Phone (662) 675-2500

110 Ed Perry Blvd
Oxford, MS 38655
Phone (662) 234-5050

420 N Main St
Water Valley, MS 38965
Phone (662) 473-1411

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1174069033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652506",
            "telephone_number": "662-473-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652506",
            "telephone_number": "662-473-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALOBUSHA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-473-5907"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yalobusha Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Water Valley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.