Organization
PEARL RIVER COUNTY HOSPITAL EMERGENCY DEPARTMENT
Active
Parent organization
PEARL RIVER COUNTY HOSPITAL AND NURSING HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEARL RIVER COUNTY HOSPITAL AND NURSING HOME
Authorized official
MR. MICHAEL BOLEWARE (ADMINISTRATOR)
(601) 795-4543
Entity
Organization
Contact information
Practice address
305 W MOODY ST, POPLARVILLE, MS 39470-7338
(601) 795-4543
(601) 795-4238
Mailing address
305 W MOODY ST, POPLARVILLE, MS 39470-7338
(601) 795-4543
(601) 795-4238
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21087
MS
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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