Organization
QUITMAN COUNTY HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE G MOORE (FISCAL SERVICES DIRECTOR)
(662) 326-8031
Entity
Organization
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Mailing address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
16-291
MS
282NC0060X
Critical Access Hospital
16291
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080725
BLUE CROSS/BLUE SHIELD
MS
05
—
05854578
—
MS
Enumeration date
07/20/2006
Last updated
05/18/2010
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