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JEFFERSON COUNTY HOSPITAL
NPI 1043204555
General Acute Care Hospital - Rural in Fayette, MS

Active since September 12, 2005CLIA 25D0317488 · Certificate of Compliance
870 SOUTH MAIN STREET, FAYETTE, MS 39069(601) 786-3401(601) 786-3400 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Jul 27, 2023, Dec 16, 2015 (3 updates tracked since 2015).

About Jefferson County Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COUNTY HOSPITAL (NPI 1043204555) is a healthcare organization registered as a rural in Fayette, Mississippi and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through February 17, 2027 and lists Jerry Kennedy, Interm Ceo, as its authorized official.

NPPES Registry Identity

NPI1043204555
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameJEFFERSON COUNTY HOSPITAL
Location Address870 SOUTH MAIN STREETFayette, MS 39069-0577
Mailing AddressP.o. Box 577, 870 Main StreetFayette, MS 39069-0577 · (601) 786-3401 · Fax (601) 786-3400
Phone(601) 786-3401
Fax(601) 786-3400
Organization SubpartNo
Authorized OfficialJerry KennedyInterm Ceo · (601) 597-4979
Enumeration DateSeptember 12, 2005
Last NPPES UpdateMarch 22, 20243 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1043204555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
Also ListedPsychiatric UnitTaxonomy 273R00000X · License 21238 (MS)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 21238 (MS)
870 SOUTH MAIN STREET, Fayette, MS 39069
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Other Identifiers 1

OtherC02109MS · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0317488

Jefferson County Hospital · Fayette, MS
Active · expires Feb 17, 2027
CLIA Number25D0317488
Laboratory TypeHospital
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorThomas A. Rose
Laboratory Phone(601) 786-3401
Laboratory LocationJefferson County Hospital870 Main Street, Fayette, MS 39069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Hospital's NPI number?

The NPI number for Jefferson County Hospital is 1043204555. It was assigned to this organization in the NPPES registry on September 12, 2005.

Where is Jefferson County Hospital located?

Jefferson County Hospital is located at 870 South Main Street, Fayette, MS 39069. The listed phone number is (601) 786-3401.

What is Jefferson County Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Does Jefferson County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317488) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson County Hospital accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jefferson County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson County Hospital was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.