Organization
MONTFORT JONES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W MANNING (ADMINISTRATOR)
(662) 290-3300
Entity
Organization
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 290-3326
Mailing address
PO BOX 887, KOSCIUSKO, MS 39090-0887
(662) 290-3326
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11-008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029035
—
MS
Enumeration date
03/16/2007
Last updated
08/22/2020
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