Forrest County General Hospital
Organization Active NPI Rehabilitation Hospital Unit · Hattiesburg, MS
NPI 1104928548 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1104928548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 11141 (MS)
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-7000
- Fax
- (601) 288-1875
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ben Hester
- Title
- Cfo
- Phone
- (601) 288-4480
Owned or controlled facilities with NPI records 17
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 40
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 110
-
Robert B Brahan, MD
-
L. Wesley Aldred, M.D.
-
George M Anderson, M.D.
-
Joseph Anderson, PMHNP-BC
-
Roopsi Bassi, MD
-
Berthold Beisel, MD
-
Siddeeqah Bilal, M.D.
-
Santo M Borganelli, MD FACC
-
Stephanie Kay Bounds, PMHNP-BC
-
Karen H Bruce, M.D.
-
Jefferson Buntin, N.P.
-
Heather Conn, FNP, PMHNP-BC
-
Courtney Lynn Cruthirds, PMHNP
-
Justin Defee, LPC
-
Christopher John Douglas, M.D.
Affiliated clinicians 3
-
Roland Raul Estaris, M.D.
-
Joshua A Maksi, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Forrest General Hospital
- Ownership
- Government
- Certified
- Oct 1, 1988
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 25T078
- Legal name
- FORREST COUNTY GENERAL HOSPITAL
- Doing business as
- FORREST GENERAL IP REHAB UNIT
- Organization structure
- Other · Non-profit
- Enrollment address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Hospital subgroups
- General, Acute care, Rehabilitation unit
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| John M Keene |
Corporate Director | Jan 1, 2001 | |
| Ben R Hester |
Corporate Director |
Aug 1, 2015 | |
| W-2 Managing Employee |
Aug 1, 2015 | ||
| Operational/Managerial Control |
Aug 1, 2015 | ||
| Forrest County Board of Superviors |
5% Or Greater Direct Ownership Interest | Jul 15, 1966 | 100% |
| Richard W Preusch |
Corporate Officer | Jan 1, 2001 | |
| Corporate Director | Jan 1, 2001 |
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| Highland Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 1, 2006 May 1, 2006 |
| The Orthopedic Institute |
Hospital | 5% Or Greater Direct Ownership Interest | Jul 15, 1952 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Jefferson Davis Community Hospital Swing Bed |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2011 |
| Pearl River County Hospital and Nursing Home |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Pearl River County Hospital Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Jefferson Davis Extended Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Pearl River County Hospital and Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Forrest General Home Care of Marion General |
Home health agency | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 |
| Jefferson Davis Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 1, 2011 Jul 1, 2011 |
| Marion County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2014 Oct 1, 2007 |
| Highland Pediatric and Primary Care Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2018 Dec 1, 2018 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Highland Center for Women'S Health |
Rural health clinic | Operational/Managerial Control | Aug 13, 2017 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Highland Family Medicine Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080422000523 | MS | Part a Provider - Hospital | 1052397767 | Practice locations: Hattiesburg, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 11141 | MS | Yes |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Mailing address
PO Box 15722
Hattiesburg, MS 39404-5722
Phone (601) 288-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020007 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Julie Ford
- Rebecca A Ford
- Victoria Ashley Ford
- Courtney Marie Foret-Chiasson
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
All providers in Hattiesburg, MS · Rehabilitation Hospital Unit in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.