TYLER HOLMES MEMORIAL HOSPITAL EKG
NPI 1104075860
Specialist in Winona, MS

Q: What is Tyler Holmes Memorial Hospital Ekg's NPI number?

The NPI number for Tyler Holmes Memorial Hospital Ekg is 1104075860. It was assigned to this organization in the NPPES registry on September 17, 2008.

Q: What is Tyler Holmes Memorial Hospital Ekg's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 17, 2008CLIA 25D0704217 · Certificate of Compliance

409 TYLER HOLMES DR, WINONA, MS 38967(662) 283-4114(662) 283-4640 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tyler Holmes Memorial Hospital Ekg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER HOLMES MEMORIAL HOSPITAL EKG (NPI 1104075860) is a healthcare organization registered as a specialist in Winona, Mississippi and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 1, 2027 and lists R M Tyler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104075860

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTYLER HOLMES MEMORIAL HOSPITAL EKG

Location Address409 TYLER HOLMES DRWinona, MS 38967-1521

Mailing Address409 Tyler Holmes DrWinona, MS 38967-1521 · (662) 283-4114 · Fax (662) 283-4640

Phone(662) 283-4114

Fax(662) 283-4640

Organization SubpartYesParent: Tyler Holmes Memorial Hospital

Authorized OfficialR M TylerAdministrator · (662) 283-6127

Enumeration DateSeptember 17, 2008

Last NPPES UpdateFebruary 3, 2009

✔ NPI 1104075860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

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.

409 TYLER HOLMES DR, Winona, MS 38967

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Other Identifiers 3

Other000019156MS · Blue Cross

OtherC00070MS · Medicare Ptan

Medicaid09012469MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0704217

Tyler Holmes Memorial Hospital · Winona, MS

Active · expires Mar 1, 2027

CLIA Number25D0704217

Laboratory TypeHospital

Certificate Effective DateMarch 2, 2025

Certificate Expiration DateMarch 1, 2027

Laboratory DirectorFrances J. Hairston

Laboratory Phone(662) 283-6762

Laboratory LocationTyler Holmes Memorial Hospital409 Tyler Holmes Drive, Winona, MS 38967

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLIE BOYETTE

Occupational Therapy Assistant