Organization Active NPI

Forrest County General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Richton, MS
National Provider Identifier
1982864526
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
12-234 Issued in MS
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00029191MedicaidMS

Other names 1

  • Perry County General Hospital SNF Other name

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.

Verify at the official NPI Registry.