NPIMap

Organization Active NPI

Jasper General Hospital

  • General Acute Care Hospital
  • Bay Springs, MS
National Provider Identifier
1396730164
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11226 Issued in MS
Legal business name
JASPER GENERAL HOSPITAL
Practice address
15 A South 6TH St
Bay Springs, MS 39422
Phone
(601) 764-2101
Fax
(601) 764-2930
NPI assigned
Sep 16, 2005
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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
General Acute Care Hospital 282N00000X 11226 MS Primary

Addresses

Primary practice location

15 A South 6TH St
Bay Springs, MS 39422

Mailing address

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

Other identifiers 10

IdentifierTypeStateIssuer
00070596MedicaidMS
00770340MedicaidMS
0430099OtherMSJASPER GENERAL HOSPITAL
29160MedicaidMS
70596OtherMSPROCARE HOME HEALTH
000080009OtherMSJASPER GENERAL HOSPITAL
20177OtherMSJASPER GENERAL HOSP
09010972MedicaidMS
00020177MedicaidMS
00020083MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000114 MS Part A Provider - Hospital 1052487105 Practice locations: Bay Springs, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396730164. Details of each certification follow.

Hospital certification: CCN 250018

Legal name
JASPER GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2025
Beds
20
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Nov 28, 1961 in MS
Enrollment address
15A S Sixth St
Bay Springs, MS 39422-9052
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Jasper General HospitalCCN 250018 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Griff Kelly Individual Corporate OfficerChief Financial Officer Apr 6, 2018
W-2 Managing EmployeeCfo Apr 6, 2018

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1396730164",
    "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": "15 A SOUTH 6TH ST",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "39422",
            "telephone_number": "601-764-2101",
            "fax_number": "601-764-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-03-02",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070596",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770340",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JASPER GENERAL HOSPITAL",
            "identifier": "0430099",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29160",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCARE HOME HEALTH",
            "identifier": "70596",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JASPER GENERAL HOSPITAL",
            "identifier": "000080009",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JASPER GENERAL HOSP",
            "identifier": "20177",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09010972",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020177",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020083",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Springs, MS

Sources for this page

Verify at the official NPI Registry.