Jefferson Davis Community Hospital

LBN: Prentiss Regional Hospital And Extended Care Facility, Inc.
Jefferson Davis Community Hospital is an health care organization with primary practice located at 1102 Rose Street , Prentiss MS 39474-1288. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Prentiss Regional Hospital And Extended Care Facility, Inc. can be contacted via phone (601) 792-4276, or through Curtis, Mary via phone (601) 792-1232.

Contact Information

Primary practice address
1102 Rose Street Prentiss MS 39474-1288
Phone: (601) 792-4276
Fax: (601) 792-2947
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Mary
Phone: (601) 792-1232

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 16-179 Mississippi

Profile Details

NPI number 1467495127
LBN Legal business name Prentiss Regional Hospital And Extended Care Facility, Inc.
DBA Doing business as Jefferson Davis Community Hospital
Authorized official Curtis, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1467495127 NPPES
Mississippi MEDICAID 00220441

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