NPIMap

Organization Active NPI

Montfort Jones Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Kosciusko, MS
National Provider Identifier
1427099142
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
11-008
Legal business name
MONTFORT JONES MEMORIAL HOSPITAL
Practice address
220 Hwy 12 W
Kosciusko, MS 39090
Phone
(662) 290-3304
Fax
(662) 290-3302
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mr. John Dawson
Title
C.E.O.
Phone
(662) 289-4311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 11-008 Primary
General Acute Care Hospital 282N00000X 11-008 MS

Addresses

Primary practice location

220 Hwy 12 W
Kosciusko, MS 39090

Mailing address

220 Hwy 12 West
Kosciusko, MS 39090
Phone (662) 289-4311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1427099142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HWY 12 WEST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "39090",
            "telephone_number": "662-289-4311",
            "fax_number": "662-290-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HWY 12 W",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "39090",
            "telephone_number": "662-290-3304",
            "fax_number": "662-290-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTFORT JONES MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "662-289-4311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": "11-008",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11-008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosciusko, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.