George County Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

GEORGE COUNTY HOSPITAL

Practice address

1017 Jackson Ave
Leakesville, MS 39451-9105

Phone

(601) 394-4135

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Paul A Gardner

Title

Ceo

Phone

(601) 947-9148

Specialties & licenses 1

Addresses

Other names 1

• Greene County Hospital Doing business as

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1184887754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-947-9148"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essential Touchstones Behavioral Health
• Danielle Eubanks, FNP-C
• Jennifer Fisher, PCMHT
• Wesley Donovan Freeman, FNP
• Erin Elisabeth Bradley Fryfogle, PHARMD
• George County Hospital
• George County Hospital
• Greene County Clinic Hospital Services
• Greene County Family Medical Clinic
• Greene County Hospital

• All providers in Leakesville, MS
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.