Organization
PRENTISS REGIONAL HOSPITAL AND EXTENDED CARE FACILITY, INC.
Active
Other names
Jefferson Davis Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CURTIS (CHIEF EXECUTIVE OFFICER)
(601) 792-1232
Entity
Organization
Contact information
Practice address
1102 ROSE STREET, PRENTISS, MS 39474-1288
(601) 792-4276
(601) 792-2947
Mailing address
1102 ROSE STREET, P.O. BOX 1288, PRENTISS, MS 39474-1288
(601) 792-4276
(601) 792-2947
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
16-179
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220441
—
MS
Enumeration date
06/13/2006
Last updated
08/22/2020
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