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General NPI Number Information
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NPI Number | 1386654309
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Entity Type | Organization
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Legal Business Name | STONE COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 1434 CENTRAL AVE E P O DRAWER 97
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City | WIGGINS
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State | MS
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Zip | 39577-9602
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Country | US
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Telephone | 601-928-6600
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Fax | 601-928-6658
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Provider Business Mailing Address
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Address Line | 1434 CENTRAL AVE E P O DRAWER 97
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City | WIGGINS
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State | MS
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Zip | 39577-9602
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Country | US
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Telephone | 601-928-6600
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Fax | 601-928-6658
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. TAMMY HARRELL
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Credential |
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Telephone | 601-928-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 12280
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License Number State | MS
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