NPIMap

Organization Active NPI

Jasper General Hospital

Doing business as Jasper General Hospital Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Bay Springs, MS
National Provider Identifier
1215013065
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
11226 Issued in MS
Legal business name
JASPER GENERAL HOSPITAL
Doing business as
Jasper General Hospital Swingbed
Practice address
15A South 6TH Street
Bay Springs, MS 39422-0527
Phone
(601) 764-2101
Fax
(601) 764-2930
NPI assigned
Oct 27, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JASPER GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Marshall Kenneth Posey
Title
Administrator
Phone
(601) 764-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 11226 MS Primary

Addresses

Primary practice location

15A South 6TH Street
Bay Springs, MS 39422-0527

Mailing address

PO Box 527
Bay Springs, MS 39422-0527
Phone (601) 764-2101

Other identifiers 3

IdentifierTypeStateIssuer
5000396OtherMSUNITED HEALTH CARE
000080009OtherMSBLUE CROSS BLUE SHIELD
00029160MedicaidMS

Other names 1

  • Jasper General Hospital Swingbed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000127 MS Part A Provider - Hospital 1052487105 Practice locations: Bay Springs, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215013065. Details of each certification follow.

Hospital certification: CCN 25U018

Legal name
JASPER GENERAL HOSPITAL
Doing business as
JASPER GENERAL HOSPITAL SWINGBED
Organization structure
OtherNon-profit
Incorporated
Nov 28, 1961 in MS
Enrollment address
15 A South 6TH Street
Bay Springs, MS 39422-0527
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Jasper General Hosp Neu7 organizations share this tax ID, including this one
Part of
Jasper General Hosp Neu

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Crystal Mosley Individual Corporate OfficerCfo Jan 15, 2026
Jacqueline Barnes Individual W-2 Managing EmployeeMedical Records Director Aug 12, 2025 5%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Pro Care Home HealthBay Springs, MS, CCN 257096 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1975
Jasper County After Hours ClinicBay Springs, MS, CCN 258643 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1215013065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220527",
            "telephone_number": "601-764-2101",
            "fax_number": "601-764-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A SOUTH 6TH STREET",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220527",
            "telephone_number": "601-764-2101",
            "fax_number": "601-764-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASPER GENERAL HOSPITAL",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "POSEY",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-764-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "11226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5000396",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000080009",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029160",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper General Hospital Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Springs, MS

Sources for this page

Verify at the official NPI Registry.