Provider Demographics
NPI:1073914925
Name:MISSISSIPPI HMA HOLDINGS II LLC
Entity Type:Organization
Organization Name:MISSISSIPPI HMA HOLDINGS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:4600 TOWSON AVE
Mailing Address - Street 2:SUITE 136
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-7961
Mailing Address - Country:US
Mailing Address - Phone:479-494-6037
Mailing Address - Fax:
Practice Address - Street 1:4000 MERIDIAN BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6325
Practice Address - Country:US
Practice Address - Phone:615-465-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHS/COMMUNITY HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital