Healthcare Provider Details

I. General information

NPI: 1306983903
Provider Name (Legal Business Name): STONE COUNTY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 S MAIN
POPLARVILLE MS
39470
US

IV. Provider business mailing address

PO BOX 345
WIGGINS MS
39577
US

V. Phone/Fax

Practice location:
  • Phone: 601-795-9320
  • Fax: 601-795-9876
Mailing address:
  • Phone: 601-928-6700
  • Fax: 601-982-6731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number261QC0050X
License Number StateMS

VIII. Authorized Official

Name: DR. JOHN JOSEPH ROONEY
Title or Position: DOCTOR
Credential: MD
Phone: 601-928-6700