Organization
JASPER GENERAL HOSPITAL
Active
Other names
Procare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN KNOTTS (DIRECTOR)
(601) 764-2081
Entity
Organization
Contact information
Practice address
20 BAY AVENUE, BAY SPRINGS, MS 39422-0527
(601) 764-2081
(601) 764-2081
Mailing address
PO BOX 527, BAY SPRINGS, MS 39422-0527
(601) 764-2081
(601) 764-2081
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
054
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020177
BLUE CROSS BLUE SHIELD
MS
05
—
00770340
—
MS
01
—
5000396
UNITED HEALTH CARE
MS
Enumeration date
09/21/2006
Last updated
09/16/2008
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