Healthcare Provider Details

I. General information

NPI: 1831614486
Provider Name (Legal Business Name): NORTH OAK REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 GETWELL DR STE B
SENATOBIA MS
38668-2231
US

IV. Provider business mailing address

401 GETWELL DR
SENATOBIA MS
38668-2213
US

V. Phone/Fax

Practice location:
  • Phone: 662-562-9256
  • Fax:
Mailing address:
  • Phone: 901-562-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY SMITH
Title or Position: CLINIC MANAGER
Credential:
Phone: 901-315-8262