Organization
QUITMAN COUNTY HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE G. MOORE (FISCAL SERVICES DIRECTOR)
(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
273R00000X
Psychiatric Hospital Unit
Primary
16-291
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80725
BLUE CROSS BLUE SHIELD
MS
Enumeration date
07/20/2006
Last updated
05/18/2010
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