# FORREST COUNTY GENERAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson Davis General Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649558388
- **Authorized official:** RICHARD ANDREW WOODARD (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (601) 288-2892

## Contact information

- **Practice address:** 1102 ROSE ST, PRENTISS, MS 39474-5200
- **Practice address phone:** (601) 792-4276
- **Practice address fax:** (601) 792-2947
- **Mailing address:** 1102 ROSE ST, PRENTISS, MS 39474-5200
- **Mailing address phone:** (601) 792-4276
- **Mailing address fax:** (601) 792-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 12/20/2011