FORREST COUNTY GENERAL HOSPITAL NPI 1770715450

NPI Information

NPI: 1770715450
Provider Name: FORREST COUNTY GENERAL HOSPITAL

Doing Business As: PEARL RIVER FAMILY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
302 HIGHWAY 11 S
POPLARVILLE, MS
ZIP 39470
Phone: (601) 403-8284
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FORREST COUNTY GENERAL HOSPITAL is a rural health clinic center in Poplarville, MS. FORREST COUNTY GENERAL HOSPITAL NPI is 1770715450. The provider is registered as an organization entity type.
The provider Is Doing Business As Pearl River Family Clinic.

The provider's business location address is:

302 HIGHWAY 11 S
POPLARVILLE, MS
ZIP 39470-625
Phone: (601) 403-8284
Fax: (601) 403-8283

The provider's authorized official is Ben Hester .
The authorized official title is Cfo and has the following contact phone number (601) 288-4225.

The CLIA number assigned to this NPI record is 25D1107382 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2009 and was last updated on 4/16/2020.

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
1	261QR1300X	Clinic/Center	Rural Health	21087	MISSISSIPPI	Yes

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

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