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Organization
COVINGTON COUNTY HOSPITAL
Active
Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
Smith County EH Pro Fees
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA L EVANS CREDENTIALING (CREDENTIALING DIRECTOR)
(601) 698-0328
Entity
Organization
Contact information
Practice address
347 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 640-1711
Mailing address
PO BOX 2499, COLLINS, MS 39428-2499
(601) 640-1711
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
04/09/2026
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