# QUITMAN COUNTY HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** QUITMAN COUNTY HOSPITAL, LLC
- **Other names:** Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770941445
- **Legal business name:** QUITMAN COUNTY HOSPITAL, LLC
- **Authorized official:** JEFFERY J GERACI (ADMINISTRATOR)
- **Authorized official phone:** (662) 326-8031

## Contact information

- **Practice address:** 1024 MARTIN LUTHER KING DR, MARKS, MS 38646-1832
- **Practice address phone:** (662) 326-3502
- **Practice address fax:** (662) 326-2555
- **Mailing address:** 1024 MARTIN LUTHER KING DR, MARKS, MS 38646-1832
- **Mailing address phone:** (662) 326-3502
- **Mailing address fax:** (662) 326-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 02/16/2016