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Organization

COVINGTON COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOBBY GRUBBS (ADMINISTRATOR)
(601) 765-6711
Entity
Organization

Contact information

Practice address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-6711
(601) 698-0180
Mailing address
PO BOX 1149, COLLINS, MS 39428-1149
(601) 765-6711
(601) 698-0180

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00029034
MS
Enumeration date
04/06/2007
Last updated
08/22/2020
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