Forrest County General Hospital
Organization Active NPI Nursing Facility/Intermediate Care Facility · Poplarville, MS
NPI 1740329341 · NPPES record last updated Mar 1, 2021
Key facts
- NPI
- 1740329341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 305 West Moody Street
Poplarville, MS 39470 - Phone
- (601) 795-4543
- Fax
- (601) 795-4238
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ben Hester
- Title
- Cfo
- 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
Corporate family (same tax ID) 40
Facilities with the same owner 16
Practitioners 108
-
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 1
-
Angela C Jones, MD
Medicare Care Compare: Nursing home
- Listed as
- Pearl River Co Nursing Home
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 2, 2020
- Medicare certification status
- Active
- Certified beds
- 105 · 85.1 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Skilled nursing facility certification: CCN 255349
- Legal name
- FORREST COUNTY GENERAL HOSPITAL
- Doing business as
- PEARL RIVER COUNTY HOSPITAL AND NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 2, 2020
- Last certification
- Feb 27, 2025
- Beds
- 105
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Forest General Hospital
- Organization structure
- Government · Non-profit
- Enrollment address
- 305 West Moody Street
Poplarville, MS 39470-7338 - Nursing home name
- PEARL RIVER CO NURSING HOME
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Erik Steele |
Corporate Officer |
Aug 1, 2023 | |
| Corporate Director |
Feb 1, 2020 | ||
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Forrest County General Hospital |
5% Or Greater Direct Ownership Interest | Feb 1, 2020 | 100% |
| Operational/Managerial Control | Feb 1, 2020 | 100% | |
| Sheree Jenkins |
W-2 Managing Employee |
Feb 1, 2020 | |
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Richard Andy Woodard |
Corporate Officer |
Feb 1, 2020 | |
| W-2 Managing Employee |
Feb 1, 2020 | ||
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Ben R Hester |
Corporate Officer |
Feb 1, 2020 | |
| W-2 Managing Employee |
Feb 1, 2020 | ||
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Melissa a Watson |
W-2 Managing Employee |
Oct 1, 2016 | |
| Operational/Managerial Control |
Oct 1, 2016 | ||
| Courtney Lowrimore |
W-2 Managing Employee |
May 1, 2016 | |
| Operational/Managerial Control |
May 1, 2016 | ||
| Dudley Brown |
W-2 Managing Employee |
May 20, 2023 | |
| Bryan K Maxie |
W-2 Managing Employee |
Feb 1, 2020 | |
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Marcus L Hogan |
Corporate Director |
Feb 1, 2020 | |
| Operational/Managerial Control |
Feb 1, 2020 | ||
| Jana Causey |
Corporate Officer |
Aug 1, 2023 | |
| Corporate Director |
Aug 1, 2023 | ||
| Operational/Managerial Control |
Aug 1, 2023 | ||
| Richard W Preusch |
Corporate Director |
Feb 1, 2020 | |
| Operational/Managerial Control |
Feb 1, 2020 |
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 |
| 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 |
| 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 |
|---|---|---|---|---|
| O20201019001975 | MS | Part a Provider - Skilled Nursing Facility | 1052397767 | Practice locations: Poplarville, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
305 West Moody Street
Poplarville, MS 39470
Mailing address
125 S 28TH Ave Ste 326
Hattiesburg, MS 39401-7152
Phone (601) 288-1823
Other names
- Pearl River County Hospital and Nursing Home
Other providers in Poplarville, MS
- Morgan J Farmer
- Grace P Ford
- Forever Home Services
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Joseph N Gardner
- Tracy Pace Gill
- Kirsten M Glass
All providers in Poplarville, MS · Nursing Facility/Intermediate Care Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2021. 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.