| Organization Name: | PRENTISS REGIONAL HOSPITAL AND EXTENDED CARE FACILITY, INC. |
| NPI Number: | 1043241946 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY CURTIS (CEO) |
| Mailing Address: | 1014 Rose St Suite A Prentiss |
| State: | MS US |
| Postal Code: | 39474 |
| Phone Number: | 6017924276 |
| Fax Number: | 6017922947 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 16-179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |