| Organization Name: | PEARL RIVER COUNTY HOSPITAL & NURSING HOME |
| NPI Number: | 1760789903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTI TAYLOR (BILLING SPECIALIST) |
| Mailing Address: | 305 W Moody St Poplarville |
| State: | MS US |
| Postal Code: | 394707338 |
| Phone Number: | 6017954543 |
| Fax Number: | 6017954238 |
| NPI Enumeration Date: | 02/24/2011 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 21-087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |