Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Parent organization
FORREST COUNTY GENERAL HOPSITAL
Other names
Forrest General Home Care and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORREST COUNTY GENERAL HOPSITAL
Authorized official
MR. JAMES LARRY RUSSUM (BUSINESS MANAGER)
(601) 288-4344
Entity
Organization
Contact information
Practice address
1414 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 288-4344
(601) 288-2401
Mailing address
1414 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 288-4344
(601) 288-2401
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770033
—
MS
Enumeration date
10/04/2006
Last updated
05/30/2014
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