Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Jefferson Davis Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BEN HESTER (CHIEF FINANCIAL OFFICER)
(601) 288-4225
Entity
Organization
Contact information
Practice address
1014 ROSE ST, SUITE A, PRENTISS, MS 39474-5271
(601) 792-2202
(601) 792-2345
Mailing address
1014 ROSE ST, SUITE A, PRENTISS, MS 39474-5271
(601) 792-2202
(601) 792-2345
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
09/12/2017
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