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General NPI Number Information
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NPI Number | 1790361509
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Entity Type | Organization
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Legal Business Name | FORREST COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1702 HIGHWAY 11 N STE A
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City | PICAYUNE
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State | MS
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Zip | 39466-2016
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Country | US
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Telephone | 601-799-3130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15722
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City | HATTIESBURG
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State | MS
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Zip | 39404-5722
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Country | US
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Telephone | 601-288-7000
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Fax | 601-288-1864
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Authorized Official
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Title or Position | CFO
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Name | BEN HESTER
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Credential |
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Telephone | 601-288-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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