Healthcare Provider Details

I. General information

NPI: 1306976238
Provider Name (Legal Business Name): FORREST COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HIGHLAND PKWY
PICAYUNE MS
39466-5574
US

IV. Provider business mailing address

PO BOX 15722
HATTIESBURG MS
39404-5722
US

V. Phone/Fax

Practice location:
  • Phone: 601-358-9481
  • Fax: 601-358-9436
Mailing address:
  • Phone: 601-288-4338
  • Fax: 601-749-3187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11086
License Number StateMS

VIII. Authorized Official

Name: MR. BEN HESTER
Title or Position: CFO/VP
Credential:
Phone: 601-288-4225