FORREST COUNTY GENERAL HOSPITAL (NPI# 1003194747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003194747 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | JEFFERSON DAVIS GENERAL HOSPITAL |
| Practice Address |
1102 Rose St Prentiss MS 39474-5200 |
| Practice Telephone | 6017924276 |
| Practice Fax Number | 6017922947 |
| Mailing Telephone | 6017924276 |
| Mailing Fax Number | 6017922947 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | RICHARD ANDREW WOODARD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6012882892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Jefferson Davis General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699267625 | Forrest County General Hospital | Family Medicine | 415 S 28th Ave Fl 1, Hattiesburg, MS 39401-7246 | 2018-06-05 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1275887499 | Forrest County General Hospital | Internal Medicine | 146 Highland Parkway, Picayune, MS 39466-5574 | 2012-11-09 |
| 1417229055 | Forrest County General Hospital | Home Health | 906 Sumrall Rd, Columbia, MS 39429-2652 | 2012-01-28 |
| 1770715450 | Forrest County General Hospital | Clinic/Center | 302 Highway 11 S, Poplarville, MS 39470-2625 | 2009-08-14 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1477601177 | Forrest County General Hospital | Pathology | 300 S 29th Ave, Hattiesburg, MS 39401-7127 | 2007-01-08 |
| 1013002724 | Forrest County General Hospital | Hospice Care, Community Based | 1414 S 28th Ave, Hattiesburg, MS 39402-3107 | 2006-10-04 |
| 1336256700 | Forrest County General Hospital | Hospice Care, Community Based | 1414 South 28th Ave, Hattiesburg, MS 39402 | 2006-08-23 |
| 1053350462 | Forrest County General Hospital | General Acute Care Hospital | 130 Highland Parkway, Picayune, MS 39466-3221 | 2006-06-05 |
| Street Address |
1102 ROSE ST |
| City | PRENTISS |
| State | MS |
| Zip Code | 39474-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1336769306 | Keely Fortenberry | Occupational Therapist | 1102 Rose St, Prentiss, MS 39474-5200 | 2020-04-20 |
| 1730452558 | Forrest County General Hospital | Anesthesiology | 1102 Rose St, Prentiss, MS 39474-5200 | 2012-02-10 |
| 1649558388 | Forrest County General Hospital | Medicare Defined Swing Bed Unit | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-29 |
| 1518245307 | Forrest County General Hospital | Skilled Nursing Facility | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-27 |
| 1295013316 | Forrest County General Hospital | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520794 | Caring Hands Staffing,llc | In Home Supportive Care | 1802 Columbia Ave, Prentiss, MS 39474 | 2018-05-31 |
| 1891183208 | Katie Daley Rush | Nurse Practitioner | 1014 Rose St., Ste. A, Prentiss, MS 39474 | 2015-01-07 |
| 1841621885 | Living Hope; LLC | Assisted Living Facility | 1287 Fred Street, Prentiss, MS 39474 | 2013-12-02 |
| 1922317197 | Martha Ann Stringer | Pharmacist | 1635 Columbia Ave., Prentiss, MS 39474 | 2010-10-05 |
| 1427361666 | Caring Hands Personal Care LLC | Home Health | 1814 Columbia Ave. Ste. B, Prentiss, MS 39474 | 2010-07-16 |
| 1730308206 | James Russell Dumas Jr. | Dentist | 7115 Hwy 13, Prentiss, MS 39474 | 2007-04-24 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1225167430 | Prentiss Regional Hospital and Ecf, Inc. | Skilled Nursing Facility | 1320 Winfield St., Prentiss, MS 39474 | 2007-03-05 |
| 1033292727 | Vonpatton's, LLC | Durable Medical Equipment & Medical Supplies | 2218 Columbia Ave, Prentiss, MS 39474 | 2006-10-24 |
| 1326149253 | Jaishankar Jagadeesan | Internal Medicine | 972 Columbia Ave, Prentiss, MS 39474 | 2006-09-25 |
| Find all providers in zip 39474 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629107990 | Prentiss Regional Hospital and Ecf, Inc. | Psychiatric Unit | 1102 Rose Street, Prentiss, MS 39474 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.