Organization
FORREST HEALTH SYSTEM
Active
Parent organization
MERIT HEALTH WESLEY
Other names
Forrest General Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERIT HEALTH WESLEY
Authorized official
PROF. CHRISTEN PAUL DANIELS DO RN (PRIMARY PHYSICIAN)
(601) 288-7000
Entity
Organization
Contact information
Practice address
513 BROOKWOOD BLVD STE 506, BIRMINGHAM, AL 35209-6892
(877) 977-0557
Mailing address
6501 U S HIGHWAY 49, HATTIESBURG, MS 39401-3006
(601) 288-7000
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
305S00000X
Point of Service
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851575
HEALTHCARE PROVIDER
MS
01
—
MS41120
STATE MEDICAL LICENSE
MS
Enumeration date
01/19/2021
Last updated
11/11/2025
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