Forrest County General Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

FORREST COUNTY GENERAL HOSPITAL

Practice address

1102 Rose St
Prentiss, MS 39474-5200

Phone

(601) 792-4276

Fax

(601) 792-2947

NPI assigned

Jul 29, 2011

Organization subpart

No

Name

Richard Andrew Woodard

Title

Chief Financial Officer

Phone

(601) 288-2892

• Jefferson Davis General Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2011.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1003194747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ROSE ST",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394745200",
            "telephone_number": "601-792-4276",
            "fax_number": "601-792-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROSE ST",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394745200",
            "telephone_number": "601-792-4276",
            "fax_number": "601-792-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-288-2892"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Davis General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy D Evans, M.D.
• Celeste Ezell, CCSS
• Family Health Care Clinic, Inc.
• Family Health Care Clinic, Inc.
• Kimala Flowers, P-LPC, CMHT
• Forrest County General Hospital
• Forrest County General Hospital
• Forrest County General Hospital
• Forrest County General Hospital
• Forrest County General Hospital

• All providers in Prentiss, MS
• Psychiatric Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.