Charleston Rural Health Clinic
LBN: Tallahatchie General Hospital
Charleston Rural Health Clinic is an health care organization with primary practice located at 171 Dr. T T Lewis Circle , Charleston MS 38921-2257. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty.
Tallahatchie General Hospital can be contacted via phone (662) 647-5535, or through Vest, Tina Rene via phone (662) 625-7111.
Contact Information
Primary practice address
171 Dr. T T Lewis Circle
Charleston MS 38921-2257
Phone: (662) 647-5535
Fax: (662) 647-8432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Critical Access Hospital | 261QC0050X | Mississippi |
Profile Details
| NPI number | 1194860502 |
|---|---|
| LBN Legal business name | Tallahatchie General Hospital |
| DBA Doing business as | Charleston Rural Health Clinic |
| Authorized official | Vest, Tina Rene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 27th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194860502 | NPPES |
| Mississippi | Other | ========= | BLUE CROSS |
| Mississippi | Other | ========= | BLUE CROSS |
| Mississippi | MEDICAID | 09014008 | BLUE CROSS |
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