Healthcare Provider Details

I. General information

NPI: 1285331298
Provider Name (Legal Business Name): TATE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GETWELL DR
SENATOBIA MS
38668-2213
US

IV. Provider business mailing address

PO BOX 508
SENATOBIA MS
38668-0508
US

V. Phone/Fax

Practice location:
  • Phone: 662-612-0311
  • Fax:
Mailing address:
  • Phone: 662-612-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA LLOYD HAMMONS
Title or Position: CEO
Credential:
Phone: 601-278-4104