| NPI | 1760649172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNY HUMES CEO 662-293-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MS 11248) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2017-01-27 |