Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER COLE (ADMINISTRATOR)
(601) 663-1445
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1236
Mailing address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1236
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
177
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023106
—
MS
Enumeration date
02/22/2007
Last updated
09/28/2009
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