Hardy Wilson Memorial Hospital
Organization Active NPI Critical Access Hospital · Hazlehurst, MS
NPI 1477876274 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1477876274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 11-164 (MS)
- Legal business name
- HARDY WILSON MEMORIAL HOSPITAL
- Practice address
- 233 Magnolia St
Hazlehurst, MS 39083-2228 - Phone
- (601) 894-6211
- NPI assigned
- Mar 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Ann S. Berch
- Title
- Cfo
- Phone
- (601) 894-4541
Corporate family (same tax ID) 6
Practitioners 11
-
Karen Boone, NP-C
-
Michael Lucas Brasel, PA-C
-
Randy Hankins, MD
-
Fred J McDonnell, MD
-
Preston McDonnell, M.D.
-
Marcella Roberts, CNP
-
Britney Sandifer, FNP-C
-
Lauren Coleman Thompson, FNP-C
-
Julli Ann Morgan, ARNP
National Provider Directory
- Tax ID family
- Copiah County Medical Center
Locations
233 Magnolia St
Hazlehurst, MS 39083
Phone (601) 894-4541
27190 Highway 28
Ste 1
Hazlehurst, MS 39083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 11-164 | MS | Yes |
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
233 Magnolia St
Hazlehurst, MS 39083-2228
Mailing address
233 Magnolia St
Hazlehurst, MS 39083-2228
Phone (601) 894-6211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013467 | Medicaid | MS |
Other providers in Hazlehurst, MS
- Shavonda Shanell Grammer
- Jennifer Lynn Greer
- Alvin Dale Griffin
- Randy Hankins
- Hardy Wilson Memorial Hospital
- Hazlehurst Elementary School
- Hazlehurst Eye Clinic, P.C.
- Hazlehurst Vision Clinic
- Heavenly Hands Services, LLC
- Kentauria Henley
All providers in Hazlehurst, MS · Critical Access Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.