TYLER HOLMES MEMORIAL HOSPITAL EKG
NPI 1104075860
Specialist in Winona, MS
NPI Status: Active since September 17, 2008
Contact Information
409 TYLER HOLMES DR
WINONA, MS
ZIP 38967
Phone: (662) 283-4114
Fax: (662) 283-4640
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 25D0704217
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-01-2027
About TYLER HOLMES MEMORIAL HOSPITAL EKG
This page provides the complete NPI Profile along with additional information for Tyler Holmes Memorial Hospital Ekg, a provider established in Winona, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104075860 assigned on September 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Tyler Holmes Memorial Hospital Ekg operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. R M Tyler (Administrator)
- NPI
- 1104075860
- Provider Name
- TYLER HOLMES MEMORIAL HOSPITAL EKG
- Entity Type
- Organization
- Location Address
- 409 TYLER HOLMES DR WINONA, MS 38967
- Location Phone
- (662) 283-4114
- Location Fax
- (662) 283-4640
- Mailing Address
- 409 TYLER HOLMES DR WINONA, MS 38967
- Mailing Phone
- (662) 283-4114
- Mailing Fax
- (662) 283-4640
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-17-2008
- Last Update Date
- 02-03-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Essential (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000019156 | OTHER (01) | MS | BLUE CROSS |
| C00070 | OTHER (01) | MS | MEDICARE PTAN |
| 09012469 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0704217
- Facility Type
- Hospital
- Certificate Effective Date
- March 02, 2025
- Certificate Expiration Date
- March 01, 2027
- Laboratory Director
- FRANCES J. HAIRSTON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Tyler Holmes Memorial Hospital Ekg after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104075860, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WINONA, MS 38967
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104075860, enumerated as an "organization" on September 17, 2008.
The provider is located at 409 TYLER HOLMES DR WINONA, MS 38967 and the phone number is (662) 283-4114.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: UnitedHealthcare, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to verify.
