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NPI Code Detail

MEDICARE: LAIRD HOSPITAL, INC.

MEDICARE: LAIRD HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit13-310MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033176276
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAIRD HOSPITAL, INC.
Provider Business Mailing Address
First Line : DEPT. 3021, PO BOX 1000
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-3021
Country : US
Telephone Number : 601-213-3010
Fax Number : 601-213-3011
Provider Business Practice Location Address
First Line : 25117 HIGHWAY 15
Second Line :
City : UNION
State : MS
Zip : 39365-9088
Country : US
Telephone Number : 601-774-8214
Fax Number : 601-774-5401
Authorized Official
Title or Position : REGIONAL CEO
Name : MR. DON LARKIN KENNEDY
Credential :
Telephone Number : 601-703-9614
Provider Enumeration Date : 05/01/2006
Last Update Date : 04/20/2023

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Directions to “LAIRD HOSPITAL, INC. ” Practice Location

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