Neshoba County General Hospital
Family Medicine in Walnut Grove, MS. Organization (NPI-2).
NPI number1255650321
StatusActive
Last updated in NPPESJan 7, 2011
Details
- NPI
- 1255650321
- Entity type
- Organization (NPI-2)
- Legal business name
- Neshoba County General Hospital
- Organization subpart
- No
- Enumeration date
- May 27, 2010
- Last updated
- Jan 7, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 12146 | MS | Yes |
Other names
- Walnut Grove Medical Associates (Doing Business As)
Practice location
110 Park StWalnut Grove, MS 39189-6526
Phone 601-253-0173 · Fax 601-253-0176
Mailing address
110 Park StWalnut Grove, MS 39189-6526
Phone 601-253-0173 · Fax 601-253-0176
Authorized official
Cheryl L Savell
Provider Enrollment
6013891563
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