Jefferson Davis Community Hospital

LBN: Prentiss Regional Hospital And Ecf, Inc.
Jefferson Davis Community Hospital is an health care organization with primary practice located at 1102 Rose St , Prentiss MS 39474. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Prentiss Regional Hospital And Ecf, Inc. can be contacted via phone (601) 792-4276, or through Mccall, Gary Lee via phone (601) 792-4276.

Contact Information

Primary practice address
1102 Rose St Prentiss MS 39474
Phone: (601) 792-4276
Fax: (601) 792-2947
Website:
Map and Directions
Authorized official contact:
Name: Mccall, Gary Lee
Phone: (601) 792-4276

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 16-179 Mississippi

Profile Details

NPI number 1063620110
LBN Legal business name Prentiss Regional Hospital And Ecf, Inc.
DBA Doing business as Jefferson Davis Community Hospital
Authorized official Mccall, Gary Lee
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063620110 NPPES
Mississippi MEDICAID 09014591

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