TYLERTOWN HEALTH CLINIC
NPI 1407166762
Family Medicine in Tylertown, MS

Q: What is Walthall Rural Health Clinic's NPI number?

The NPI number for Walthall Rural Health Clinic is 1407166762. It was assigned to this organization in the NPPES registry on October 20, 2010. The provider is doing business as Tylertown Health Clinic.

Q: What is Walthall Rural Health Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 20, 2010

200 HOSPITAL DR, TYLERTOWN, MS 39667(601) 876-5835(601) 876-5295 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tylertown Health Clinic NPPES

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

TYLERTOWN HEALTH CLINIC (NPI 1407166762) is a healthcare organization registered as a family medicine in Tylertown, Mississippi and active in the NPI registry since October 2010. The organization lists Evan Dillard, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1407166762

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWALTHALL RURAL HEALTH CLINIC

Location Address200 HOSPITAL DRTylertown, MS 39667-2020

Mailing AddressPo Box 677Tylertown, MS 39667-0677 · (601) 876-5835 · Fax (601) 876-5295

Phone(601) 876-5835

Fax(601) 876-5295

Organization SubpartNo

Authorized OfficialEvan DillardPresident/ceo · (601) 288-4490

Enumeration DateOctober 20, 2010

Last NPPES UpdateApril 11, 2013

✔ NPI 1407166762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 11133

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 HOSPITAL DR, Tylertown, MS 39667

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Other Names 1

Doing Business AsTylertown Health Clinic

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

Other Providers at the Same Location NPPES 10

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

FAMILY MEDICINE ASSOCIATES, PA

Family Medicine