Organization
STONE COUNTY HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE C ODOM (MANAGED CARE)
(601) 928-5999
Entity
Organization
Contact information
Practice address
1434 CENTRAL AVE E, P O DRAWER 97, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Mailing address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
12-280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220720
—
MS
01
—
25Z303
SWINGBED
MS
Enumeration date
12/05/2008
Last updated
06/09/2016
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