FORREST COUNTY GENERAL HOSPITAL (NPI# 1013002724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013002724 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | FORREST GENERAL HOME CARE AND HOSPICE |
| Practice Address |
1414 S 28th Ave Hattiesburg MS 39402-3107 |
| Practice Telephone | 6012884344 |
| Practice Fax Number | 6012882401 |
| Mailing Telephone | 6012884344 |
| Mailing Fax Number | 6012882401 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | MR. JAMES LARRY RUSSUM (BUSINESS MANAGER) |
| Authorized Official Telephone | 6012884344 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORREST COUNTY GENERAL HOPSITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 008 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770033 | 05 |
| Other Name | Type Code |
|---|---|
| Forrest General Home Care and Hospice | 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 |
| 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 |
| 1043820426 | Forrest County General Hospital | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2020-07-31 |
| Street Address |
1414 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881160620 | Ramona Ann Lewis | Pharmacist | 1414 S 28th Ave, Hattiesburg, MS 39402-3107 | 2018-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760886253 | Camellia Healthcare | Hospice Care, Community Based | 135 Mayfair Rd, Hattiesburg, MS 39402-1464 | 2014-10-14 |
| 1699108704 | Serenity Home Healthcare | Hospice Care, Community Based | 38 Shadow Ridge Dr, Hattiesburg, MS 39402-9768 | 2013-08-12 |
| 1518219773 | Homecare Hospice South, LLC | Hospice Care, Community Based | 100 Walnut Cir, Suite 110, Hattiesburg, MS 39401-3502 | 2012-10-11 |
| 1619238698 | Kare-in-home Hospice, LLC | Hospice Care, Community Based | 6222 U S Highway 98, Ste 200, Hattiesburg, MS 39402-8531 | 2012-06-06 |
| 1356625008 | St Joseph Hospice of Southern Mississippi, LLC | Hospice Care, Community Based | 32 Millbranch Rd Ste 30, Hattiesburg, MS 39402-1673 | 2011-09-29 |
| 1457647216 | Hospice Advantage, LLC. | Hospice Care, Community Based | 517 W. Scooba St., Units 20 & 30, Hattiesburg, MS 39401 | 2011-06-21 |
| 1871800094 | St Luke Missionary Hospice LLC | Hospice Care, Community Based | 1715 Hardy St, Suite 30, Hattiesburg, MS 39401-4980 | 2010-09-09 |
| 1871707612 | Pine View Area, LLC | Hospice Care, Community Based | 1305 Country Club Rd, Hattiesburg, MS 39401-7640 | 2007-05-10 |
| 1336256700 | Forrest County General Hospital | Hospice Care, Community Based | 1414 South 28th Ave, Hattiesburg, MS 39402 | 2006-08-23 |
| 1851330641 | Southerncare, Inc. | Hospice Care, Community Based | 4700 Hardy St, Suite Y, Hattiesburg, MS 39402-1300 | 2006-06-06 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on FORREST COUNTY GENERAL HOSPITAL.
| 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.