| Organization Name: | PONTOTOC HEALTH SERVICES, INC. |
| NPI Number: | 1821103516 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH A REPPERT (CFO) |
| Mailing Address: | 176 S Main St Pontotoc |
| State: | MS US |
| Postal Code: | 388633311 |
| Phone Number: | 6624887640 |
| Fax Number: | 6624887675 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 11/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 16-091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |