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Quitman County Hospital, LLC

Organization Active NPI Rural Health Clinic/Center · Marks, MS

NPI 1174989784 · NPPES record last updated Jan 12, 2016

Key facts

NPI
1174989784
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
QUITMAN COUNTY HOSPITAL, LLC
Practice address
1024 Martin Luther King Dr
Marks, MS 38646-1832
Phone
(662) 326-3502
Fax
(662) 326-7077
NPI assigned
Jan 12, 2016
Organization subpart
Yes
Parent organization (as reported)
QUITMAN COUNTY HOSPITAL, LLC

Authorized official

Name
Jeffery J. Geraci
Title
Administrator
Phone
(662) 326-8031

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Quitman County Hospital (4 organizations share this tax ID)
Part of
Quitman County Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1024 Martin Luther King Dr
Marks, MS 38646-1832

Mailing address

1024 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 326-3502

Other names

  • Family Medical Center Doing business as

Other providers in Marks, MS

All providers in Marks, MS · Rural Health Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.