| Organization Name: | PRENTISS REGIONAL HOSPITAL AND EXTENDED CARE FACILITY, INC. |
| NPI Number: | 1134150030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY CURTIS (CEO) |
| Mailing Address: | 1150 Berry Street Prentiss |
| State: | MS US |
| Postal Code: | 394741255 |
| Phone Number: | 6017928432 |
| Fax Number: | 6017928453 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| 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: | |