Organization
QUITMAN COUNTY HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE MOORE (CFO)
(662) 326-8031
Entity
Organization
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Mailing address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
16-291
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019725
BC/BS, STATE OF MS, CHIPS
MS
01
—
000020725
BC/BS, CHIPS, STATE OF MS
MS
05
—
07539272
—
MS
Enumeration date
05/28/2006
Last updated
05/18/2010
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