WALTHALL RURAL HEALTH CLINIC – NPI #1518275544
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

WALTHALL RURAL HEALTH CLINIC is a provider located in TYLERTOWN, MS. NPPES has assigned the NPI number 1518275544 to WALTHALL RURAL HEALTH CLINIC on September 24, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on May 08, 2012. 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 RURAL HEALTH CLINIC

NPI Number
1518275544
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 RURAL HEALTH CLINIC
Primary location
200 HOSPITAL DR
TYLERTOWN, MS 39667-2020
Phone: (601) 876-5303 Fax: (601) 876-0653
Mailing address
POST OFFICE BOX 677
TYLERTOWN, MS 39667-2025
Phone: (601) 876-5303 Fax: (601) 876-0653
Organization Subpart
No
Authorized Official
EVAN DILLARD
PRESIDENT/CEO
Phone: (601) 288-7000
Updated
Identifiers

Identifiers for WALTHALL RURAL HEALTH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANMS302G707791
MEDICAIDMS07552559
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
207Q00000X
- Family Medicine (Primary)		 MS 11133
207R00000X
- Internal Medicine		 MS 10220

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.