Healthcare Provider Details

I. General information

NPI: 1841905254
Provider Name (Legal Business Name): QUITMAN COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 GETWELL ST
MARKS MS
38646-9785
US

IV. Provider business mailing address

340 GETWELL ST
MARKS MS
38646-9785
US

V. Phone/Fax

Practice location:
  • Phone: 662-712-2329
  • Fax:
Mailing address:
  • Phone: 662-712-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MISTY LEACH
Title or Position: FINANCE
Credential:
Phone: 662-712-2368