| Organization Name: | FORREST COUNTY GENERAL HOSPITAL |
| NPI Number: | 1013002724 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LARRY RUSSUM (BUSINESS MANAGER) |
| Mailing Address: | 1414 S 28th Ave Hattiesburg |
| State: | MS US |
| Postal Code: | 394023107 |
| Phone Number: | 6012884344 |
| Fax Number: | 6012882401 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 05/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |