# JASPER GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770660920
- **Authorized official:** MR. MARSHALL KENNETH POSEY (ADMINISTRATOR)
- **Authorized official phone:** (601) 764-2101

## Contact information

- **Practice address:** 20 S SIXTH ST, BAY SPRINGS, MS 39422-9055
- **Practice address phone:** (601) 764-4494
- **Practice address fax:** (601) 764-4649
- **Mailing address:** 20 S SIXTH ST, BAY SPRINGS, MS 39422-9055
- **Mailing address phone:** (601) 764-4494
- **Mailing address fax:** (601) 764-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00115455 | MS | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 06/23/2014