Hattiesburg Clinic, PA
Hattiesburg Clinic, PA is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tylertown, Mississippi. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2006.
- CMS rating
- 3 of 5
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
4820 Plaza DrTylertown, MS 39667-9221
Phone: (601) 222-0311
Fax: (601) 222-0351
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1821021155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Batson — Executive Director · (601) 264-6000 |
| Other names | Tylertown Dialysis Unit; Tylertown Dialysis Unit |
| NPI enumerated | July 9, 2006 |
| Last updated in NPPES | February 22, 2021 |
| Certification date | February 22, 2021 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |