Organization
QUITMAN COUNTY HOSPITAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE MOORE (CFO)
(662) 326-8031
Entity
Organization
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Mailing address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-8031
(662) 326-8478
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16291
MS
2085R0202X
Diagnostic Radiology Physician
16291
MS
261QE0002X
Emergency Care Clinic/Center
16291
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19725
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/18/2007
Last updated
09/11/2025
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