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Organization
JASPER GENERAL HOSPITAL
Active
Organization
JASPER GENERAL HOSPITAL
Active
Parent organization
JASPER GENERAL HOSPITAL
Other names
Pro Care Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
JASPER GENERAL HOSPITAL
Authorized official
MRS. TERRI J JAMES R.N. (BILLING)
(601) 764-2081
Entity
Organization
Contact information
Practice address
20 BAY AVE, BAY SPRINGS, MS 39422-0527
(601) 764-2081
(601) 764-9454
Mailing address
PO BOX 527, BAY SPRINGS, MS 39422-0527
(601) 764-2081
(601) 764-9454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5181
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070596
BLUE CROSS
MS
05
—
00070596
—
MS
01
—
5000396
UNITED HEALTH CARE
MS
01
—
862206
WELLCARE
MS
Enumeration date
09/26/2006
Last updated
03/20/2017
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