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JEFFERSON DAVIS COMMUNITY HOSPITAL
NPI 1063620110
General Acute Care Hospital - Critical Access in Prentiss, MS

Active since May 21, 2007
1102 ROSE ST, PRENTISS, MS 39474(601) 792-4276(601) 792-2947 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jefferson Davis Community Hospital NPPES

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

JEFFERSON DAVIS COMMUNITY HOSPITAL (NPI 1063620110) is a healthcare organization registered as a critical access in Prentiss, Mississippi and active in the NPI registry since May 2007. The organization lists Gary Lee Mccall, Coo, as its authorized official.

NPPES Registry Identity

NPI1063620110
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NamePRENTISS REGIONAL HOSPITAL AND ECF, INC.
Location Address1102 ROSE STPrentiss, MS 39474
Mailing AddressPo Box 1288Prentiss, MS 39474-1288 · (601) 792-4276 · Fax (601) 792-2947
Phone(601) 792-4276
Fax(601) 792-2947
Organization SubpartNo
Authorized OfficialGary Lee MccallCoo · (601) 792-4276
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063620110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in MS · 16-179
1102 ROSE ST, Prentiss, MS 39474
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Other Names 1

Doing Business AsJefferson Davis Community Hospital

Other Identifiers 1

Medicaid09014591MS

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORREST COUNTY GENERAL HOSPITAL
Skilled Nursing Facility
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-1172
FORREST COUNTY GENERAL HOSPITAL
Medicare Defined Swing Bed Unit
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
FORREST COUNTY GENERAL HOSPITAL
Psychiatric Unit
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
FORREST COUNTY GENERAL HOSPITAL
Family Medicine
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
FORREST COUNTY GENERAL HOSPITAL
General Acute Care Hospital (Critical Access)
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
KEELY FORTENBERRY
Occupational Therapist
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-1242
RH HOSPITALIST MEDICINE OF JEFFERSON DAVIS LLC
Hospitalist
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
RH EMERGENCY MEDICINE OF JEFFERSON DAVIS LLC
Emergency Medicine
1102 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276

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 Prentiss Regional Hospital And Ecf, Inc.'s NPI number?

The NPI number for Prentiss Regional Hospital And Ecf, Inc. is 1063620110. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Prentiss Regional Hospital And Ecf, Inc. located?

Prentiss Regional Hospital And Ecf, Inc. is located at 1102 Rose St, Prentiss, MS 39474. The listed phone number is (601) 792-4276.

What is Prentiss Regional Hospital And Ecf, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Prentiss Regional Hospital And Ecf, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.