JEFFERSON DAVIS COMMUNITY HOSPITAL
NPI 1225167430
Skilled Nursing Facility in Prentiss, MS

Active since March 05, 2007
1320 WINFIELD 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: August 16, 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 1225167430) is a healthcare organization registered as a skilled nursing facility in Prentiss, Mississippi and active in the NPI registry since March 2007. The organization lists Gary Lee Mccall, Coo, as its authorized official.

NPPES Registry Identity

NPI1225167430
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRENTISS REGIONAL HOSPITAL AND ECF, INC.
Location Address1320 WINFIELD ST.Prentiss, MS 39474
Mailing AddressPo Box 1288Prentiss, MS 39474-1288 · (601) 792-4276 · Fax (601) 792-2947
Fax(601) 792-2947
Organization SubpartNo
Authorized OfficialGary Lee MccallCoo · (601) 792-4276
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1225167430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 254
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1320 WINFIELD ST., Prentiss, MS 39474

Other Names 1

Doing Business AsJefferson Davis Community Hospital

Other Identifiers 1

Medicaid00230059MS

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 1225167430. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Jefferson Davis Community Hospital.

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

Prentiss Regional Hospital And Ecf, Inc. is located at 1320 Winfield 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 Skilled Nursing Facility with taxonomy code 314000000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.