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NPI Code Detail

MEDICARE: CALHOUN HEALTH SERVICES

MEDICARE: CALHOUN HEALTH SERVICES
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
1282N00000XGeneral Acute Care Hospital11-259MS

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 : 1376719302
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALHOUN HEALTH SERVICES
Provider Business Mailing Address
First Line : 140 BURKE CALHOUN CITY RD
Second Line :
City : CALHOUN CITY
State : MS
Zip : 38916-9690
Country : US
Telephone Number : 662-628-6611
Fax Number : 662-628-6300
Provider Business Practice Location Address
First Line : 140 BURKE CALHOUN CITY RD
Second Line :
City : CALHOUN CITY
State : MS
Zip : 38916-9690
Country : US
Telephone Number : 662-628-6611
Fax Number : 662-628-6300
Authorized Official
Title or Position : DIRECTOR OF FISCAL SERVICES
Name : MANDY SUBER
Credential : CPA
Telephone Number : 662-628-6611
Provider Enumeration Date : 04/30/2008
Last Update Date : 01/26/2009

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1003062407 — CALHOUN HEALTH SERVICES
Practice Location Address:
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38916-9690
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Practice Fax: 662-628-6300

Directions to “CALHOUN HEALTH SERVICES ” Practice Location

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