Organization
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
Active
Other names
Jefferson Davis Community Hospital Regional Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE MCCALL JR. (COO)
(601) 792-4276
Entity
Organization
Contact information
Practice address
4297 HIGHWAY 42, BASSFIELD, MS 39421
(601) 943-5060
Mailing address
PO BOX 1288, 1102 ROSE ST, PRENTISS, MS 39474-1288
(601) 792-4276
(601) 792-2947
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
16179
MS
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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