TYLERTOWN INTERNAL MEDICINE CLINIC – NPI #1144530403
Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
TYLERTOWN INTERNAL MEDICINE CLINIC is a provider located in TYLERTOWN, MS. NPPES has assigned the NPI number 1144530403 to TYLERTOWN INTERNAL MEDICINE CLINIC on October 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TYLERTOWN INTERNAL MEDICINE CLINIC” is a dba name, the actual legal business name for this organization is WALTHAL RURAL HEALTH CLINIC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.
The NPI profile was previously updated about 13 years ago on Apr 11, 2013. 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 TYLERTOWN INTERNAL MEDICINE CLINIC below.
NPI Profile for
WALTHAL RURAL HEALTH CLINIC
(more than 15 years ago)
TYLERTOWN, MS 39667-2020 Phone: (601) 876-5303 Fax:
TYLERTOWN, MS 39667-0677 Phone: Fax:
PRESIDENT/CEO
Phone: (601) 288-4490
Identifiers for TYLERTOWN INTERNAL MEDICINE 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PTAN | MS | 302G707791 |
| MEDICAID | MS | 07552559 |
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 |
|---|---|---|
| 207R00000X - Internal Medicine (Primary) |
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.