Organization
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
Active
Other names
Jefferson Davis Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LEE MCCALL JR. (CHIEF OPERATING OFFICER)
(601) 792-4276
Entity
Organization
Contact information
Practice address
1102 ROSE STREET, PRENTISS, MS 39474
(601) 792-4276
(601) 792-2947
Mailing address
PO BOX 1288, PRENTISS, MS 39474-1288
(601) 792-4276
(601) 792-2947
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
16-179
MS
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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