Organization
COPIAH COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY GADDY MBA, CPA (CFO)
(601) 574-7202
Entity
Organization
Contact information
Practice address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2224
(601) 574-7000
(601) 574-7216
Mailing address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2224
(601) 574-7000
(601) 574-7216
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
11-164
MS
282NC0060X
Critical Access Hospital
Primary
11-164
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020115
—
MS
05
—
00050875
—
MS
05
—
09013467
—
MS
Enumeration date
05/27/2005
Last updated
09/30/2024
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