TALLAHATCHIE GENERAL HOSPITAL
NPI 1194860502
Clinic/Center - Rural Health in Charleston, MS

Q: What is Tallahatchie General Hospital's NPI number?

The NPI number for Tallahatchie General Hospital is 1194860502. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Charleston Rural Health Clinic.

Q: What is Tallahatchie General Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 21, 2007CLIA 25D0029652 · Certificate of Compliance

171 DR. T T LEWIS CIRCLE, CHARLESTON, MS 38921(662) 647-5535(662) 647-8432 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2025, Dec 16, 2024, Jun 21, 2021 (3 updates tracked since 2021).

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About Tallahatchie General Hospital NPPES

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

TALLAHATCHIE GENERAL HOSPITAL (NPI 1194860502), doing business as Charleston Rural Health Clinic, is a healthcare organization registered as a rural health in Charleston, Mississippi and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 13, 2027 and lists Barbara Dover Crocker, Him Director, as its authorized official.

NPPES Registry Identity

NPI1194860502

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameTALLAHATCHIE GENERAL HOSPITAL

Location Address171 DR. T T LEWIS CIRCLECharleston, MS 38921-2257

Mailing AddressPo Box 230Charleston, MS 38921-0240 · (662) 647-5535 · Fax (662) 647-8432

Phone(662) 647-5535

Fax(662) 647-8432

Organization SubpartNo

Authorized OfficialBarbara Dover CrockerHim Director · (662) 625-7176

Enumeration DateFebruary 21, 2007

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1194860502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

171 DR. T T LEWIS CIRCLE, Charleston, MS 38921

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Other Names 1

Doing Business AsCharleston Rural Health Clinic

Other Identifiers 1

Medicaid09014008MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D0029652

Tallahatchie General Hospital · Charleston, MS

Active · expires Apr 13, 2027

CLIA Number25D0029652

Laboratory TypeHospital

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorAndrew Ayers Martin

Laboratory Phone(662) 625-7129

Laboratory LocationTallahatchie General Hospital141 Dr T T Lewis Circle, Charleston, MS 38921

CLIA data matches this NPI record on: 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

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

ANNE WILSON SELBY FNP

Nurse Practitioner (Family)

171 DR. T T LEWIS CIRCLE
CHARLESTON, MS 38921

Tallahatchie County (662) 647-5816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tallahatchie General Hospital's NPI number?

The NPI number for Tallahatchie General Hospital is 1194860502. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Charleston Rural Health Clinic.

Where is Tallahatchie General Hospital located?

Tallahatchie General Hospital is located at 171 Dr. T T Lewis Circle, Charleston, MS 38921. The listed phone number is (662) 647-5535.

What is Tallahatchie General Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Tallahatchie General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0029652) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tallahatchie General Hospital accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tallahatchie General Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tallahatchie General Hospital was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.