JEFFERSON COUNTY HOSPITAL NPI 1043204555

NPI Information

  • NPI: 1043204555
  • Provider Name: JEFFERSON COUNTY HOSPITAL
  • Classification: General Acute Care Hospital - 282NR1301X
  • Specialization: Rural
  • Entity Type: Organization
  • Address: 870 SOUTH MAIN STREET
    FAYETTE, MS
    ZIP 39069
  • Phone: (601) 786-3401

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NPI Details

JEFFERSON COUNTY HOSPITAL is a rural general acute care hospital in Fayette, MS. JEFFERSON COUNTY HOSPITAL NPI is 1043204555. The provider is registered as an organization entity type.

The provider's business location address is:

870 SOUTH MAIN STREET
FAYETTE, MS
ZIP 39069-577
Phone: (601) 786-3401
Fax: (601) 786-3400

The provider's authorized official is Jerry Kennedy .
The authorized official title is Interm Ceo and has the following contact phone number (601) 597-4979.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1273R00000XPsychiatric Unit21238MISSISSIPPINo
2282N00000XGeneral Acute Care Hospital21238MISSISSIPPINo
3282NR1301XGeneral Acute Care HospitalRuralYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C02109OTHERMISSISSIPPIBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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