Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Watkins Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
605 S ARCHUSA AVE, QUITMAN, MS 39355-2331
(601) 776-6925
(601) 776-7147
Mailing address
DEPT 3025, PO BOX 1000, MEMPHIS, TN 38148
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020214
—
MS
05
—
141923
—
AL
Enumeration date
11/15/2006
Last updated
12/22/2022
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