Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LEE MCCALL JR. (CEO)
(601) 663-1230
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1273
Mailing address
1001 HOLLAND AVE, PO BOX 648, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1286
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
11-227
MS
282NC0060X
Critical Access Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
00859031
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020181
BLUE CROSS
—
05
—
00020181
—
MS
05
—
00037257
—
MS
01
—
2509694
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/18/2006
Last updated
05/11/2026
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