Organization
MONTFORT JONES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAWSON (C.E.O.)
(662) 289-4311
Entity
Organization
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 390-3326
Mailing address
220 HWY 12 W, KOSCIUSKO, MS 39090
(662) 289-4311
(662) 290-3302
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
11-008
MS
282N00000X
General Acute Care Hospital
11-008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020035
BLUE CROSS HOSPITAL
MS
Enumeration date
03/27/2007
Last updated
02/23/2015
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