| Walthall Rural Health Clinic | |
|
200 Hospital Dr Tylertown MS 39667-2020 | |
| (601) 876-5303 | |
| (601) 876-0653 |
| Full Name | Walthall Rural Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Hospital Dr, Tylertown, Mississippi |
| Authorized Official Name and Position | Evan Dillard (PRESIDENT/CEO) |
| Authorized Official Contact | 6012887000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walthall Rural Health Clinic Post Office Box 677 Tylertown MS 39667-2025 Ph: (601) 876-5303 | Walthall Rural Health Clinic 200 Hospital Dr Tylertown MS 39667-2020 Ph: (601) 876-5303 |
| NPI Number | 1518275544 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518275544 | NPI | - | NPPES |
| 07552559 | Medicaid | MS | |
| 302G707791 | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13883 (Mississippi) | Primary |
| 207Q00000X | Family Medicine | 11133 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | 10220 (Mississippi) | Secondary |
Family Medicine Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5835 Fax: 601-876-5295 | |
Tylertown Surgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-4961 Fax: 601-876-9172 | |
Tylertown Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303 | |
Harish M. Madnani M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Hospital Dr, B, Tylertown, MS 39667 Phone: 601-876-6006 Fax: 601-876-3603 | |
Walthall Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-2122 Fax: 601-222-0432 | |
Blackwell's Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Ball Ave, Tylertown, MS 39667 Phone: 601-303-8264 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Saint Paul Road, Tylertown, MS 39667 Phone: 601-825-7280 Fax: 601-825-8130 |