Organization
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
Active
Other names
Jefferson Davis Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LEE MCCALL JR. (COO)
(601) 792-4276
Entity
Organization
Contact information
Practice address
1102 ROSE ST., PRENTISS, MS 39474
(601) 792-4276
Mailing address
PO BOX 1288, PRENTISS, MS 39474-1288
(601) 792-4276
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
16-179
MS
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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