MEDICARE: MARION GENERAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194831909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION GENERAL HOSPITAL

Provider Business Mailing Address
First Line	:	910 SUMRALL RD
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-2652
Country	:	US
Telephone Number	:	601-736-0177
Fax Number	:	601-736-0179

Provider Business Practice Location Address
First Line	:	910 SUMRALL RD
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-2652
Country	:	US
Telephone Number	:	601-736-0177
Fax Number	:	601-736-0179

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JERRY HOWELL
Credential	:
Telephone Number	:	601-740-2190

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	08/22/2020

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Directions to “MARION GENERAL HOSPITAL ” Practice Location

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