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

NPI Status: Active since May 21, 2007

Contact Information

1102 ROSE ST
PRENTISS, MS
ZIP 39474
Phone: (601) 792-4276
Fax: (601) 792-2947

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  • Organization
  • General Acute Care Hospital
  • Critical Access

About JEFFERSON DAVIS COMMUNITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Jefferson Davis Community Hospital, a provider established in Prentiss, Mississippi operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1063620110 assigned on May 2007. The practitioner's primary taxonomy code is 282NC0060X with license number 16-179 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Jefferson Davis Community Hospital. The authorized official of this NPI record is Mr. Gary Lee Mccall Jr. (Coo)

NPI
1063620110
Provider Legal Name
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
Other Organization Name
JEFFERSON DAVIS COMMUNITY HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1102 ROSE ST PRENTISS, MS 39474
Location Phone
(601) 792-4276
Location Fax
(601) 792-2947
Mailing Address
PO BOX 1288 PRENTISS, MS 39474
Mailing Phone
(601) 792-4276
Mailing Fax
(601) 792-2947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
16-179
License State
MS

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARY LEE MCCALL JR.

Authorized Official Title
COO
Authorized Official Phone
(601) 792-4276

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
09014591MEDICAID (05)MS 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063620110, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 2 + 0 + 1 + 2 + 24 = 40

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063620110.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1102 ROSE ST
PRENTISS, MS 39474
Medicare Defined Swing Bed Unit
1102 ROSE ST
PRENTISS, MS 39474
Psychiatric Unit
1102 ROSE ST
PRENTISS, MS 39474
Family Medicine
1102 ROSE ST
PRENTISS, MS 39474
General Acute Care Hospital (Critical Access)
1102 ROSE ST
PRENTISS, MS 39474
Occupational Therapist
1102 ROSE ST
PRENTISS, MS 39474
Hospitalist
1102 ROSE ST
PRENTISS, MS 39474
Emergency Medicine
1102 ROSE ST
PRENTISS, MS 39474
Speech-Language Pathologist
1102 ROSE ST
PRENTISS, MS 39474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063620110, enumerated as an "organization" on May 21, 2007.

The provider is located at 1102 ROSE ST PRENTISS, MS 39474 and the phone number is (601) 792-4276.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.