# PRENTISS REGIONAL HOSPITAL AND ECF, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson Davis Community Hospital Regional Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417146259
- **Authorized official:** MR. GARY LEE MCCALL JR. (COO)
- **Authorized official phone:** (601) 792-4276

## Contact information

- **Practice address:** 4297 HIGHWAY 42, BASSFIELD, MS 39421
- **Practice address phone:** (601) 943-5060
- **Mailing address:** PO BOX 1288, 1102 ROSE ST, PRENTISS, MS 39474-1288
- **Mailing address phone:** (601) 792-4276
- **Mailing address fax:** (601) 792-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 16179 | MS | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007