| Winston Medical Center | |
|
562 E Main St Louisville MS 39339-2742 | |
| (662) 773-6211 | |
| (662) 773-6223 |
| Full Name | Winston Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 562 E Main St, Louisville, Mississippi |
| Authorized Official Name and Position | Gary Lee Mccall (CEO) |
| Authorized Official Contact | 6627795102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winston Medical Center Po Box 967 Louisville MS 39339-0967 Ph: (662) 773-6211 | Winston Medical Center 562 E Main St Louisville MS 39339-2742 Ph: (662) 773-6211 |
| NPI Number | 1942342894 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 10/25/2011 |
| Medicare PECOS PAC ID | 7315943255 |
|---|---|
| Medicare Enrollment ID | O20100520000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942342894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 16-208 (Mississippi) | Primary |
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