NPIMap

Organization Active NPI

Forrest County General Hospital

Doing business as Pearl River County Hospital & Nursing Home

  • Medicare Defined Swing Bed Hospital Unit
  • Poplarville, MS
National Provider Identifier
1124325287
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
21-087 Issued in MS
Legal business name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
Pearl River County Hospital & Nursing Home
Practice address
305 W Moody St
Poplarville, MS 39470-7338
Phone
(601) 795-4543
Fax
(601) 795-4238
NPI assigned
Feb 24, 2011
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FORREST COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ben Hester
Title
Cfo
Phone
(601) 288-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 21-087 MS Primary

Addresses

Primary practice location

305 W Moody St
Poplarville, MS 39470-7338

Mailing address

125 S 28TH Ave Ste 326
Hattiesburg, MS 39401-7152
Phone (601) 288-1823

Other names 1

  • Pearl River County Hospital & Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320002161 MS Part A Provider - Critical Access Hospital 1052397767 Practice locations: Poplarville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124325287. Details of each certification follow.

Hospital certification: CCN 25Z333

Legal name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
PEARL RIVER COUNTY HOSPITAL SWING BED
Organization structure
GovernmentNon-profit
Enrollment address
305 West Moody Street
Poplarville, MS 39470-7338
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Forrest Cty Gen Hosp41 organizations share this tax ID, including this one
Part of
Forrest Cty Gen Hosp

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erik Steele Individual Corporate DirectorMember Board of Trustees Feb 1, 2020
Operational/Managerial ControlMember Board of Trustees Feb 1, 2020
Forrest County General Hospital Organization, Hattiesburg, MS Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Operational/Managerial Control Feb 1, 2020 100%
Sheree Jenkins Individual W-2 Managing EmployeeDirector of Revenue Systems Feb 1, 2020
Operational/Managerial ControlDirector of Revenue Systems Jan 1, 2020
James Williams Individual W-2 Managing EmployeeAdministrator Feb 1, 2020
Operational/Managerial ControlAdministrator Feb 1, 2020
Ben R Hester Individual Corporate OfficerVP/Chief Financial Officer Feb 1, 2020
W-2 Managing EmployeeVP/Chief Financial Officer Feb 1, 2020
Operational/Managerial ControlVP/Chief Financial Officer Feb 1, 2020
Courtney Lowrimore Individual W-2 Managing EmployeeContract Analyst Feb 1, 2020
Peggy Answorth Individual Corporate DirectorBoard Secretary Apr 1, 2023
Operational/Managerial ControlBoard Secretary Apr 1, 2023
Andrew B. Mercier Individual Corporate DirectorMember Board of Trustees Mar 1, 2024
Operational/Managerial ControlMember Board of Trustees Mar 1, 2024
Shea McNease Individual Corporate DirectorMember Board of Trustees Aug 1, 2024
Operational/Managerial ControlMember Board of Trustees Aug 1, 2024
Jana Causey Individual Corporate DirectorChairman of the Board of Trustees Jan 1, 2023
Operational/Managerial ControlChairman of the Board of Trustees Jan 1, 2023
Harry Chip McArthur Individual Corporate DirectorMember Board of Trustees Aug 1, 2024
Operational/Managerial ControlMember Board of Trustees Aug 1, 2024

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland Community HospitalPicayune, MS, CCN 250117 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2006
May 1, 2006
The Orthopedic InstituteHattiesburg, MS, CCN 250078 Hospital 5% Or Greater Direct Ownership Interest Jul 15, 1952
Marion General HospitalColumbia, MS, CCN 250085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Marion General HospitalColumbia, MS, CCN 25U085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Jefferson Davis Community Hospital Swing BedPrentiss, MS, CCN 25Z326 Hospital Operational/Managerial Control (100%) Jul 1, 2011
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 251333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Jefferson Davis Extended Care FacilityPrentiss, MS, CCN 255050 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 255349 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 GeneralColumbia, MS, CCN 257089 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 2012
Jefferson Davis Rural Health ClinicPrentiss, MS, CCN 258523 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2011
Jul 1, 2011
Marion County General HospitalColumbia, MS, CCN 258612 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 ClinicPicayune, MS, CCN 258631 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2018
Dec 1, 2018
Forrest County General HospitalPoplarville, MS, CCN 258556 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 HealthPicayune, MS, CCN 258683 Rural health clinic Operational/Managerial Control Aug 13, 2017
Forrest County General HospitalRichton, MS, CCN 253452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Highland Family Medicine ClinicPicayune, MS, CCN 258673 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1124325287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 28TH AVE STE 326",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017152",
            "telephone_number": "601-288-1823",
            "fax_number": "601-288-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MOODY ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394707338",
            "telephone_number": "601-795-4543",
            "fax_number": "601-795-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORREST COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2011-02-24",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-288-4225"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "21-087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl River County Hospital & Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.