Forrest General Home Care

LBN: Forrest County General Hospital
Forrest General Home Care is an health care organization with primary practice located at 1414 South 28Th Ave , Hattiesburg MS 39402. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Hospice Care, Community Based. Agencies / Home Health is the primary health care specialty. Forrest County General Hospital can be contacted via phone (601) 288-4344, or through Russum, James Larry via phone (601) 288-4344.

Contact Information

Primary practice address
1414 South 28Th Ave Hattiesburg MS 39402
Fax: (601) 288-2401
Website:
Authorized official contact:
Name: Russum, James Larry

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 4585 Mississippi
Agencies / Hospice Care, Community Based 251G00000X 008 Mississippi

Profile Details

NPI number 1336256700
LBN Legal business name Forrest County General Hospital
DBA Doing business as Forrest General Home Care
Authorized official Russum, James Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Sep 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336256700 NPPES
Mississippi MEDICAID 00770033
Mississippi MEDICAID 00070505

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