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JEFFERSON DAVIS RURAL HEALTH CLINIC
NPI 1689952707
Clinic/Center - Rural Health in Prentiss, MS

Active since July 22, 2011CLIA 25D1067906 · Waiver
1014 ROSE ST, SUITE A, PRENTISS, MS 39474(601) 792-2202(601) 792-2345 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Davis Rural Health Clinic NPPES

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

JEFFERSON DAVIS RURAL HEALTH CLINIC (NPI 1689952707) is a healthcare organization registered as a rural health in Prentiss, Mississippi and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Ben Hester, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1689952707
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORREST COUNTY GENERAL HOSPITAL
Location Address1014 ROSE ST, SUITE APrentiss, MS 39474-5271
Mailing Address1014 Rose St, Suite APrentiss, MS 39474-5271 · (601) 792-2202 · Fax (601) 792-2345
Phone(601) 792-2202
Fax(601) 792-2345
Organization SubpartNo
Authorized OfficialBen HesterChief Financial Officer · (601) 288-4225
Enumeration DateJuly 22, 2011
Last NPPES UpdateSeptember 12, 2017
✔ NPI 1689952707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1014 ROSE ST, Prentiss, MS 39474
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Other Names 1

Doing Business AsJefferson Davis Rural Health Clinic

Other Identifiers 1

Medicare OSCAR/certification258523MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D1067906

Jefferson Davis Rural Health Clinic · Prentiss, MS
Active · expires Apr 26, 2027
CLIA Number25D1067906
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorMichele Mahaffey
Laboratory Phone(601) 792-2200
Laboratory LocationJefferson Davis Rural Health Clinic1014 Rose St Ste A, Prentiss, MS 39474
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

PRENTISS REGIONAL HOSPITAL AND EXTENDED CARE FACILITY, INC.
Clinic/Center (Rural Health)
1014 ROSE ST, SUITE A
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4276
RHONDA COX MSN, FNP-C/AGACNP-BC
Nurse Practitioner
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071
MRS. MICHELE BRYANT MAHAFFEY FNP
Nurse Practitioner (Family)
1014 ROSE ST, SUITE A
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2200
MARY SUE WATKINS CFNP
Nurse Practitioner
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071
LAURA JACKSON MILLER M.D.
Family Medicine
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071

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 1689952707. It was assigned to this organization in the NPPES registry on July 22, 2011. The provider is doing business as Jefferson Davis Rural Health Clinic.

Where is Forrest County General Hospital located?

Forrest County General Hospital is located at 1014 Rose St Suite A, Prentiss, MS 39474. The listed phone number is (601) 792-2202.

What is Forrest County General Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Forrest County General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1067906) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forrest County General Hospital accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Forrest County General Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forrest County General Hospital was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.