Organization
JASPER GENERAL HOSPITAL
Active
Other names
FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL KENNETH POSEY (ADMINISTRATOR)
(601) 764-2101
Entity
Organization
Contact information
Practice address
20 S SIXTH ST, BAY SPRINGS, MS 39422-9055
(601) 764-4494
(601) 764-4649
Mailing address
20 S SIXTH ST, BAY SPRINGS, MS 39422-9055
(601) 764-4494
(601) 764-4649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00115455
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-30099
UNITED HEALTH CARE
MS
05
—
09010972
—
MS
01
—
425136982B
BLUE CROSS
MS
01
—
80088201
MEDICARE RAILROAD
MS
Enumeration date
11/01/2006
Last updated
06/23/2014
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