JEFFERSON DAVIS COMMUNITY HOSPITAL REGIONAL MEDICAL CLINIC - NPI 1417146259

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

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About Jefferson Davis Community Hospital Regional Medical Clinic NPPES

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

JEFFERSON DAVIS COMMUNITY HOSPITAL REGIONAL MEDICAL CLINIC (NPI 1417146259) is a healthcare organization registered as a critical access hospital in Bassfield, Mississippi and active in the NPI registry since October 2007. The organization lists Gary Lee Mccall, Coo, as its authorized official.

NPPES Registry Identity

NPI1417146259

Entity TypeOrganization

Primary Taxonomy261QC0050X

Legal Business NamePRENTISS REGIONAL HOSPITAL AND ECF, INC.

Location Address4297 HIGHWAY 42Bassfield, MS 39421

Mailing AddressPo Box 1288, 1102 Rose StPrentiss, MS 39474-1288 · (601) 792-4276 · Fax (601) 792-2947

Phone(601) 943-5060

Organization SubpartNo

Authorized OfficialGary Lee MccallCoo · (601) 792-4276

Enumeration DateOctober 17, 2007

✔ NPI 1417146259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities

Taxonomy Code261QC0050X

License✔ Licensed in MS · 16179

Definition

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

4297 HIGHWAY 42, Bassfield, MS 39421

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Other Names 1

Doing Business AsJefferson Davis Community Hospital Regional Medical Clinic

Other Providers at the Same Location NPPES

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

REGIONAL MEDICAL CLINIC, LLC.

Clinic/Center (Primary Care)

4297 HIGHWAY 42
BASSFIELD, MS 39421

Jefferson Davis County (601) 943-5060

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 1417146259. It was assigned to this organization in the NPPES registry on October 17, 2007. The provider is doing business as Jefferson Davis Community Hospital Regional Medical Clinic.

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

Prentiss Regional Hospital And Ecf, Inc. is located at 4297 Highway 42, Bassfield, MS 39421. The listed phone number is (601) 943-5060.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

When was this NPI record last updated?

The NPPES record for Prentiss Regional Hospital And Ecf, Inc. was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.