Healthcare Provider Details

I. General information

NPI: 1194831909
Provider Name (Legal Business Name): MARION GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 SUMRALL RD
COLUMBIA MS
39429-2652
US

IV. Provider business mailing address

910 SUMRALL RD
COLUMBIA MS
39429-2652
US

V. Phone/Fax

Practice location:
  • Phone: 601-736-0177
  • Fax: 601-736-0179
Mailing address:
  • Phone: 601-736-0177
  • Fax: 601-736-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateMS

VIII. Authorized Official

Name: JERRY HOWELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 601-740-2190