PEARL RIVER FAMILY CLINIC
NPI 1770715450
Clinic/Center - Rural Health in Poplarville, MS

Active since August 14, 2009CLIA 25D1107382 · Waiver
302 HIGHWAY 11 S, POPLARVILLE, MS 39470(601) 403-8284(601) 403-8283 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2020, Dec 10, 2019 (2 updates tracked since 2019).

About Pearl River Family Clinic NPPES

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

PEARL RIVER FAMILY CLINIC (NPI 1770715450) is a healthcare organization registered as a rural health in Poplarville, Mississippi and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Ben Hester, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770715450
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORREST COUNTY GENERAL HOSPITAL
Location Address302 HIGHWAY 11 SPoplarville, MS 39470-2625
Mailing Address125 S 28th Ave Ste 326Hattiesburg, MS 39401-7152 · (601) 288-1823 · Fax (601) 288-4360
Fax(601) 403-8283
Organization SubpartYes
Authorized OfficialBen HesterCfo · (601) 288-4225
Enumeration DateAugust 14, 2009
Last NPPES UpdateApril 16, 20202 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
NPI 1770715450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MS · 21087
302 HIGHWAY 11 S, Poplarville, MS 39470

Other Names 1

Doing Business AsPearl River Family Clinic

Accepted 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 25D1107382

Pearl River Family Clinic · Poplarville, MS
Active · expires Nov 3, 2027
CLIA Number25D1107382
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorDr. Richard Calderone
Laboratory Phone(601) 403-8284
Laboratory LocationPearl River Family Clinic302 Hwy 11 S, Poplarville, MS 39470
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
302 HIGHWAY 11 S
POPLARVILLE, MS 39470
Family Medicine
302 HIGHWAY 11 S
POPLARVILLE, MS 39470
Nurse Practitioner (Psychiatric/Mental Health)
302 HIGHWAY 11 S
POPLARVILLE, MS 39470

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 1770715450. It was assigned to this organization in the NPPES registry on August 14, 2009. The provider is doing business as Pearl River Family Clinic.

Where is Forrest County General Hospital located?

Forrest County General Hospital is located at 302 Highway 11 S, Poplarville, MS 39470. The listed phone number is (601) 403-8284.

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 25D1107382) is associated with this NPI, valid through November 3, 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 April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.