Forrest County General Hospital
Organization Active NPI Family Medicine Physician · Columbia, MS
NPI 1285907006 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1285907006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 1560 Sumrall Rd
Columbia, MS 39429-2654 - Phone
- (601) 736-6303
- Fax
- (601) 740-2244
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Richard Andrew Woodard
- Title
- Cfo
- Phone
- (601) 288-2892
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 40
Practitioners 6
-
Monica Roshail Magee, NURSE PRACTITIONER
-
Patricia A. Miller, D.O.
-
Craig Andrew Thieling, M.D.
-
Oladipo Ajose Kusemiju, M.D.
-
Robert B Brahan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624001351 | MS | Part B Supplier - Clinic/Group Practice | 1052397767 |
Receives reassigned benefits from 246 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prentiss, MS; Poplarville, MS; Hattiesburg, MS; Picayune, MS; Laurel, MS; Columbia, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
1560 Sumrall Rd
Columbia, MS 39429-2654
Mailing address
1560 Sumrall Rd
Columbia, MS 39429-2654
Phone (601) 736-6303
Other names
- Marion General Hospital
Other providers in Columbia, MS
- Fink Chiropractic Clinic
- Holly Renae Fink
- First Place Physical Therapy LLC
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Amarion Fortenberry
All providers in Columbia, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.