Organization Name: | FORREST COUNTY GENERAL HOSPITAL |
NPI Number: | 1689952707 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD ANDREW WOODARD (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1014 Rose St Suite A Prentiss |
State: | MS US |
Postal Code: | 394745271 |
Phone Number: | 6017922202 |
Fax Number: | 6017922345 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |