Organization
WALTHALL GENERAL HOSPITAL
Active
Parent organization
FORREST GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORREST GENERAL HOSPITAL
Authorized official
MR. BEN HESTER (CFO)
(601) 288-4225
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, TYLERTOWN, MS 39667-2022
(601) 876-2122
(601) 222-0432
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404
(601) 288-1889
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
11-257
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251324
MEDICARE
MS
Enumeration date
09/20/2010
Last updated
09/13/2017
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