Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAL BRUMMOND (CFO)
(601) 663-1367
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1236
Mailing address
1001 HOLLAND AVE, P.O. BOX 648, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1236
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11 227
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080024
BLUE CROSS SWING BED
MS
05
—
00029181
—
MS
Enumeration date
02/22/2007
Last updated
10/16/2009
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