NPIMap

Organization Active NPI

Yalobusha General Hospital

  • General Acute Care Hospital
  • Water Valley, MS
National Provider Identifier
1578680658
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11-223 Issued in MS
Legal business name
YALOBUSHA GENERAL HOSPITAL
Practice address
630 South Main Street
Water Valley, MS 38965-3468
Phone
(662) 473-1411
Fax
(662) 473-4922
NPI assigned
Mar 23, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mr. Terry Varner
Title
Administrator
Phone
(662) 473-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11-223 MS Primary

Addresses

Primary practice location

630 South Main Street
Water Valley, MS 38965-3468

Mailing address

630 South Main Street
Water Valley, MS 38965-3468
Phone (662) 473-1411

National Provider Directory

National Provider Directory
Tax ID family
Coffeeville Medical Clinic16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

630 S Main St
Water Valley, MS 38965
Phone (662) 473-1411

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1578680658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SOUTH MAIN STREET",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1411",
            "fax_number": "662-473-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SOUTH MAIN STREET",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1411",
            "fax_number": "662-473-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALOBUSHA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-473-1411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11-223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2007; 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.