JEFFERSON DAVIS EXTENDED CARE FACILITY
NPI 1518245307
Skilled Nursing Facility in Prentiss, MS
About Jefferson Davis Extended Care Facility NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON DAVIS EXTENDED CARE FACILITY (NPI 1518245307) is a healthcare organization registered as a skilled nursing facility in Prentiss, Mississippi and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Richard Andrew Woodard, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Waiver 25D0910815
Jefferson Davis County Extended Care · Prentiss, MSOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRENTISS, MS 39474
PRENTISS, MS 39474
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 Forrest County General Hospital's NPI number?
The NPI number for Forrest County General Hospital is 1518245307. It was assigned to this organization in the NPPES registry on July 27, 2011. The provider is doing business as Jefferson Davis Extended Care Facility.
Where is Forrest County General Hospital located?
Forrest County General Hospital is located at 1102 Rose St, Prentiss, MS 39474. The listed phone number is (601) 792-1172.
What is Forrest County General Hospital's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Forrest County General Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0910815) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Forrest County General Hospital was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.