Active NPI
Forrest County General Hospital
- Medicare Defined Swing Bed Hospital Unit
- Richton, MS
National Provider Identifier
1982864526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 12-234
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 206 Bay Street
Richton, MS 39476-1665 - Phone
- (601) 788-6316
- Fax
- (601) 788-2268
- NPI assigned
- Jun 16, 2008
- Reactivated
- Feb 4, 2020
- Organization subpart
- Yes
- Parent organization
- FORREST COUNTY GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ben Hester
- Title
- Cfo
- Phone
- (601) 288-4225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 12-234 | MS | Primary |
Addresses
Primary practice location
206 Bay Street
Richton, MS 39476-1665
Mailing address
PO Box 1728
Jackson, MS 39215-1728
Phone (601) 288-4338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00029191 | Medicaid | MS |
Other names 1
- Perry County General Hospital SNF
National Provider Directory
National Provider Directory- Part of
- Forrest County Gen Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1982864526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1728",
"city": "JACKSON",
"state": "MS",
"postal_code": "392151728",
"telephone_number": "601-288-4338",
"fax_number": "601-288-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 BAY STREET",
"city": "RICHTON",
"state": "MS",
"postal_code": "394761665",
"telephone_number": "601-788-6316",
"fax_number": "601-788-2268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORREST COUNTY GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORREST COUNTY GENERAL HOSPITAL",
"enumeration_date": "2008-06-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"deactivation_date": "2020-01-22",
"reactivation_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "HESTER",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "601-288-4225",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "MS",
"license": "12-234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00029191",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Perry County General Hospital SNF",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Perry County General Hospital SNF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.