| Organization Name: | WALTHALL COUNTY GENERAL HOSPITAL |
| NPI Number: | 1225159411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIMMY LIN GRAVES (ADMINISTRATOR) |
| Mailing Address: | 100 Hospital Dr Tylertown |
| State: | MS US |
| Postal Code: | 396672022 |
| Phone Number: | 6018762122 |
| Fax Number: | 6012220432 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 11-257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |