Organization Name: | GEORGE COUNTY HOSPITAL- ERP |
NPI Number: | 1093752602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL A GARDNER (CEO) |
Mailing Address: | 859 Winter St Lucedale |
State: | MS US |
Postal Code: | 394526603 |
Phone Number: | 6019479148 |
Fax Number: | 6019479206 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 11/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 11-166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |