| Organization Name: | JASPER GENERAL HOSPITAL, DME |
| NPI Number: | 1023118817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHALL KENNETH POSEY (ADMINISTRATOR) |
| Mailing Address: | 15 A South 6th Street Bay Springs |
| State: | MS US |
| Postal Code: | 39422 |
| Phone Number: | 6017642101 |
| Fax Number: | 6017642930 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 11226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |