Forrest County General Hospital
Organization Active NPI General Acute Care Hospital · Columbia, MS
NPI 1427320993 · NPPES record last updated Sep 12, 2017
Key facts
- NPI
- 1427320993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 11167 (MS)
- 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
- Jan 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Ben Hester
- Title
- Chief Financial Officer
- Phone
- (601) 288-4225
Owners & managing parties with NPI records 24
Owned or controlled facilities with NPI records 16
Other NPIs with the same Medicare PAC ID 24
Related certifications (CCN) 2
Facilities with the same owner 16
Practitioners 110
-
L. Wesley Aldred, M.D.
-
George M Anderson, M.D.
-
Joseph Anderson, PMHNP-BC
-
Roopsi Bassi, MD
-
Berthold Beisel, MD
-
Siddeeqah Bilal, M.D.
-
Santo M Borganelli, MD FACC
-
Stephanie Kay Bounds, PMHNP-BC
-
Robert B Brahan, MD
-
Karen H Bruce, M.D.
-
Jefferson Buntin, N.P.
-
Heather Conn, FNP, PMHNP-BC
-
Courtney Lynn Cruthirds, PMHNP
-
Justin Defee, LPC
-
Christopher John Douglas, M.D.
Affiliated clinicians 114
-
Victor Anazia, DO
-
Mark Timothy Barron, M.D.
-
Berthold Beisel, MD
-
Alicia Brister, CFNP
-
Johnny Bullock, MD
-
Kabeer Burman, M.D.
-
Cody Caston Choate, D.O.
-
Nadia Shanise Clark, FNP-C
-
Thomas Payne Cole, M.D.
-
Fisher Alan Covin, M.D.
-
Rhonda Cox, MSN, FNP-C/AGACNP-BC
-
Kenneth E. Duff Jr., M.D.
-
Nancy F Easterling, CFNP
-
Amanda Leigh Edgar, FNP
Medicare Care Compare: Hospital
- Listed as
- Marion General Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 250085
- Legal name
- FORREST COUNTY GENERAL HOSPITAL
- Doing business as
- MARION GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 1, 1967
- Last certification
- May 25, 2023
- Beds
- 79
- Ownership / control type
- Local
- Most recent change of ownership
- Jan 1, 2012 (1 total)
- Organization structure
- Other · Non-profit
- Enrollment address
- 1560 Sumrall Road
Marion General Hospital
Columbia, MS 39429-2654 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Forrest County General Hospital |
5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 100% |
| James Lynn Cartlidge |
Corporate Director | Jan 1, 2012 | |
| Douglas a Jones |
Corporate Officer | Jan 1, 2012 | |
| W-2 Managing Employee | Jan 1, 2012 | ||
| Richard Andy Woodard |
Corporate Officer | Jan 1, 2012 | |
| Corporate Director |
Jan 1, 2012 | ||
| W-2 Managing Employee | Jan 1, 2012 | ||
| John M Keene |
Corporate Director | Jan 1, 2012 | |
| Ben R Hester |
Corporate Director |
Aug 1, 2015 | |
| W-2 Managing Employee |
Aug 1, 2015 | ||
| Operational/Managerial Control |
Aug 1, 2015 | ||
| Reginald Woullard |
Corporate Officer | Jan 1, 2012 | |
| Bryan K Maxie |
W-2 Managing Employee | Jan 1, 2012 | |
| Marcus L Hogan |
Corporate Director | Jan 1, 2012 | |
| Richard W Preusch |
Corporate Officer | Jan 1, 2012 |
All facility ownership & control disclosures 16
| Facility | Type | Role | Since |
|---|---|---|---|
| Highland Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 1, 2006 May 1, 2006 |
| The Orthopedic Institute |
Hospital | 5% Or Greater Direct Ownership Interest | Jul 15, 1952 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Jefferson Davis Community Hospital Swing Bed |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2011 |
| Pearl River County Hospital and Nursing Home |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Pearl River County Hospital Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Jefferson Davis Extended Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Pearl River County Hospital and Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Forrest General Home Care of Marion General |
Home health agency | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 |
| Jefferson Davis Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 1, 2011 Jul 1, 2011 |
| Marion County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2014 Oct 1, 2007 |
| Highland Pediatric and Primary Care Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2018 Dec 1, 2018 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Highland Center for Women'S Health |
Rural health clinic | Operational/Managerial Control | Aug 13, 2017 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Highland Family Medicine Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000696 | MS | Part a Provider - Hospital | 1052397767 | Practice locations: Columbia, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 11167 | MS | Yes |
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
- 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
- Sabrina Fortenberry
- Xiaria Fortenberry
All providers in Columbia, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2017. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.