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FORREST COUNTY GENERAL HOSPITAL NPI 1649558388


NPI Information

NPI: 1649558388
Provider Name: FORREST COUNTY GENERAL HOSPITAL

Doing Business As: JEFFERSON DAVIS GENERAL HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 25D0651947

Address:
1102 ROSE ST
PRENTISS, MS
ZIP 39474
Phone: (601) 792-4276
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FORREST COUNTY GENERAL HOSPITAL is a medicare defined swing bed unit in Prentiss, MS. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. FORREST COUNTY GENERAL HOSPITAL NPI is 1649558388. The provider is registered as an organization entity type.
The provider Is Doing Business As Jefferson Davis General Hospital.

The provider's business location address is:

1102 ROSE ST
PRENTISS, MS
ZIP 39474-200
Phone: (601) 792-4276
Fax: (601) 792-2947

The provider's authorized official is Richard Andrew Woodard .
The authorized official title is Chief Financial Officer and has the following contact phone number (601) 288-2892.

The CLIA number assigned to this NPI record is 25D0651947 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 12/20/2011.


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
1275N00000XMedicare Defined Swing Bed UnitYes

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
125Z326MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.