Organization
JASPER GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE MARIA GEORGE (BUSINESS OFFICE DIRECTOR)
(601) 764-2101
Entity
Organization
Contact information
Practice address
15 A SOUTH 6TH STREET, BAY SPRINGS, MS 39422
(601) 764-2101
(601) 764-2930
Mailing address
PO BOX 527, BAY SPRINGS, MS 39422-0527
(601) 764-2101
(601) 764-2930
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
11226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093319
—
MS
Enumeration date
09/22/2006
Last updated
06/24/2019
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