# MONTFORT JONES MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659490241
- **Authorized official:** MR. JOHN DAWSON (C.E.O.)
- **Authorized official phone:** (662) 289-4311

## Contact information

- **Practice address:** 220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
- **Practice address phone:** (662) 290-3326
- **Mailing address:** 220 HWY 12 WEST, KOSCIUSKO, MS 39090
- **Mailing address phone:** (662) 289-4311
- **Mailing address fax:** (662) 290-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 11-008 | NULL | Yes |
| 282N00000X | General Acute Care Hospital | 11-008 | MS | — |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 06/21/2018