Healthcare Provider Details

I. General information

NPI: 1427320993
Provider Name (Legal Business Name): FORREST COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 09/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 SUMRALL RD
COLUMBIA MS
39429-2654
US

IV. Provider business mailing address

1560 SUMRALL RD
COLUMBIA MS
39429-2654
US

V. Phone/Fax

Practice location:
  • Phone: 601-736-6303
  • Fax: 601-740-2244
Mailing address:
  • Phone: 601-736-6303
  • Fax: 601-740-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11167
License Number StateMS

VIII. Authorized Official

Name: MR. BEN HESTER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 601-288-4225