ODOM RURAL HEALTH CLINIC
NPI 1356402002
Clinic/Center - Rural Health in Water Valley, MS
About Odom Rural Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODOM RURAL HEALTH CLINIC (NPI 1356402002) is a healthcare organization registered as a rural health in Water Valley, Mississippi and active in the NPI registry since December 2006. The organization lists Terry L Varner, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Odom Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Odom Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yalobusha General Hospital's NPI number?
The NPI number for Yalobusha General Hospital is 1356402002. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Odom Rural Health Clinic.
Where is Yalobusha General Hospital located?
Yalobusha General Hospital is located at 645 South Main Street, Water Valley, MS 38965. The listed phone number is (662) 473-1311.
What is Yalobusha General Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Yalobusha General Hospital enrolled in Medicare?
Yes. Yalobusha General Hospital is registered in the Medicare PECOS enrollment system.
When is Yalobusha General Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Yalobusha General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Yalobusha General Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Diagnostic Radiology (7) and Cardiovascular Disease (Cardiology) (5). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Yalobusha General Hospital accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Yalobusha 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 Yalobusha General Hospital was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Odom Rural Health Clinic · NPI 1356402002
Rural Health organization in Water Valley, Mississippi. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1356402002 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Yalobusha General Hospital
- **Organization subpart:** No
- **Authorized official:** Terry Varner, ADMINISTRATOR
## Practice location
- **Address:** 645 SOUTH MAIN STREET, Water Valley, MS 38965
- **Phone:** (662) 473-1311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Mississippi, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Diagnostic Radiology (7), Cardiovascular Disease (Cardiology) (5); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1356402002/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2007
- **Other identifiers:** Medicare OSCAR/certification 258538 (MS); Medicaid 09013597 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1356402002) · Data from the CMS NPPES public registry.