Organization
GEORGE COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL A GARDNER (CEO)
(601) 947-9148
Entity
Organization
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-9206
Mailing address
PO BOX 607, LUCEDALE, MS 39452-0607
(601) 947-3161
(601) 947-9206
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
11-166
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020120
BLUE CROSS BLUE SHIELD
MS
05
—
00020290
—
MS
Enumeration date
04/26/2006
Last updated
11/15/2010
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