WALTHALL RURAL HEALTH CLINIC – NPI #1255649604
General Acute Care Hospital

WALTHALL RURAL HEALTH CLINIC is a general acute care hospital located in TYLERTOWN, MS. NPPES has assigned the NPI number 1255649604 to WALTHALL RURAL HEALTH CLINIC on September 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALTHALL RURAL HEALTH CLINIC” is a dba name, the actual legal business name for this organization is WALTHALL GENERAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Aug 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALTHALL RURAL HEALTH CLINIC below.

NPI Profile for
WALTHALL GENERAL HOSPITAL

NPI Number
1255649604
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALTHALL GENERAL HOSPITAL
Doing Business As (dba): WALTHALL RURAL HEALTH CLINIC
Primary location
200 HOSPITAL DR
TYLERTOWN, MS 39667
Phone: (601) 876-2122 Fax: (601) 222-0432
1 Other location(s):
100 Hospital Dr
Tylertown, MS 39667-2099
Phone: (601) 876-0455
Fax: (601) 876-0482
Mailing address
PO BOX 15722
HATTIESBURG, MS 39404-5722
Phone: (601) 288-4338 Fax: (601) 288-4360
Organization Subpart
No
Authorized Official
BEN HESTER
C.F.O.
Phone: (601) 288-4225
Updated
Certification Date
Aug 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 MS 11-257
261QR1300X
- Clinic/Center / Rural Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.