PEARL RIVER COUNTY HOSPITAL (FORREST COUNTY GENERAL HOSPITAL) NPI 1003026717

General Acute Care Hospital (Critical Access) in Poplarville, MS

NPI 1003026717 Organization General Acute Care Hospital Critical Access

About PEARL RIVER COUNTY HOSPITAL (FORREST COUNTY GENERAL HOSPITAL)

Pearl River County Hospital (forrest County General Hospital) is a provider established in Poplarville, Mississippi specializing in general acute care hospital (critical access) . The NPI number of Pearl River County Hospital (forrest County General Hospital) is 1003026717 and was assigned on May 2007. The practitioner's primary taxonomy code is 282NC0060X with license number 21087 (MS). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pearl River County Hospital. The authorized official of this NPI record is Mr. Ben Hester (Cfo)

NPI

1003026717

Provider NamePEARL RIVER COUNTY HOSPITAL (FORREST COUNTY GENERAL HOSPITAL)
Provider Location Address305 W MOODY ST POPLARVILLE, MS 39470
Provider Mailing Address125 S 28TH AVE STE 326 HATTIESBURG, MS 39401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NamePEARL RIVER COUNTY HOSPITAL
Other Name TypeDoing Business As (3)
Enumeration Date05-23-2007
Last Update Date04-20-2020


Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
License No.21087
License StateMS
Taxonomy DescriptionDefinition to come.

Business Address

PEARL RIVER COUNTY HOSPITAL
305 W MOODY ST
POPLARVILLE, MS
ZIP 39470
Phone: (601) 795-4543
Fax: (601) 795-4238

Get Directions


Mailing Address

PEARL RIVER COUNTY HOSPITAL
125 S 28TH AVE STE 326
HATTIESBURG, MS
ZIP 39401
Phone: (601) 288-1823
Fax: (601) 288-4360



Authorized Official

Authorized Official NameMR. BEN HESTER
Authorized Official TitleCFO
Authorized Official Phone(601) 288-4225

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528376217PEARL RIVER COUNTY HOSPITAL EMERGENCY DEPARTMENT
Organization
General Acute Care Hospital305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1427396589MR. WILLIAM J BROWN RN
Individual
Registered Nurse305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1346895554MR. JACOBY BELL LMSW
Individual
Social Worker (Clinical)305 W MOODY ST
POPLARVILLE, MS 39470
(601) 240-2024
1124325287FORREST COUNTY GENERAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1760789903FORREST COUNTY GENERAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1093335069 HELEN HANNAFORD
Individual
Speech-Language Pathologist305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1366062309 ASHLEY SHEPPARD
Individual
Occupational Therapist305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543
1366943334 SHEILA DIANE BULLOCK FNP-C
Individual
Nurse Practitioner (Family)305 W MOODY ST
POPLARVILLE, MS 39470
(601) 795-4543

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.