NPIMap

Organization Active NPI

Montfort Jones Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Kosciusko, MS
National Provider Identifier
1619095742
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
11-008 Issued in MS
Legal business name
MONTFORT JONES MEMORIAL HOSPITAL
Practice address
220 Highway 12 W
Kosciusko, MS 39090-3208
Phone
(662) 390-3326
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 MS Primary
General Acute Care Hospital 282N00000X 11-008 MS

Addresses

Primary practice location

220 Highway 12 W
Kosciusko, MS 39090-3208

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000020035OtherMSBLUE CROSS HOSPITAL

National Provider Directory

National Provider Directory
Tax ID family
Montfort Jones Memorial Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1619095742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HWY 12 W",
            "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 HIGHWAY 12 W",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903208",
            "telephone_number": "662-390-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTFORT JONES MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-02-23",
        "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": "MS",
            "license": "11-008",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11-008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPITAL",
            "identifier": "000020035",
            "state": "MS"
        }
    ],
    "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 Feb 23, 2015; 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.