Forrest County General Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Prentiss, MS
NPI 1649558388 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1649558388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 1102 Rose St
Prentiss, MS 39474-5200 - Phone
- (601) 792-4276
- Fax
- (601) 792-2947
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Richard Andrew Woodard
- Title
- Chief Financial Officer
- Phone
- (601) 288-2892
Owners & managing parties with NPI records 25
-
Lewis E Hatten, MD
Owned or controlled facilities with NPI records 16
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 40
Related certifications (CCN) 1
Facilities with the same owner 16
Practitioners 107
-
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 5
-
Ralph Sumner Abraham IV, M.D.
-
James W. Lock, MD
-
Laura Jackson Miller, M.D.
-
Daniel Gregory Stevens, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 25Z326
- Legal name
- FORREST COUNTY GENERAL HOSPITAL
- Doing business as
- JEFFERSON DAVIS COMMUNITY HOSPITAL SWING BED
- Organization structure
- Other · Non-profit
- Enrollment address
- 1102 Rose Street
Prentiss, MS 39474-5200
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Erik Steele |
Corporate Officer |
Jun 1, 2017 | |
| Corporate Director |
Jun 1, 2017 | ||
| Forrest County General Hospital |
Operational/Managerial Control | Jul 1, 2011 | 100% |
| Lewis E Hatten |
Corporate Officer |
Jun 1, 2025 | |
| Corporate Director |
Jun 1, 2025 | ||
| Ben R Hester |
Corporate Director |
Aug 1, 2015 | |
| W-2 Managing Employee |
Aug 1, 2015 | ||
| Operational/Managerial Control |
Aug 1, 2015 | ||
| Peggy Answorth |
Corporate Officer |
Apr 1, 2023 | |
| Corporate Director |
Apr 1, 2023 | ||
| Andrew B. Mercier |
Corporate Officer |
Mar 1, 2024 | |
| Corporate Director |
Mar 1, 2024 | ||
| Shea McNease |
Corporate Officer |
Aug 1, 2024 | |
| Corporate Director |
Aug 1, 2024 | ||
| Harry Chip McArthur |
Corporate Officer |
Aug 1, 2024 | |
| Corporate Director |
Aug 1, 2024 |
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 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| 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 |
|---|---|---|---|---|
| O20120417000156 | MS | Part a Provider - Critical Access Hospital | 1052397767 | Practice locations: Prentiss, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
1102 Rose St
Prentiss, MS 39474-5200
Mailing address
1102 Rose St
Prentiss, MS 39474-5200
Phone (601) 792-4276
Other names
- Jefferson Davis General Hospital
Other providers in Prentiss, MS
- Family Health Care Clinic, Inc.
- Kimala Flowers
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Keely Fortenberry
- Stephanie Gardner
- Kimberly Gholar
All providers in Prentiss, MS · Medicare Defined Swing Bed Hospital Unit in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.