FORREST COUNTY GENERAL HOSPITAL (NPI# 1336256700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336256700 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | FORREST GENERAL HOME CARE |
| Practice Address |
1414 South 28th Ave Hattiesburg MS 39402 |
| Practice Telephone | 6012884344 |
| Practice Fax Number | 6012882401 |
| Mailing Telephone | 6012884344 |
| Mailing Fax Number | 6012882401 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | MR. JAMES LARRY RUSSUM (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 6012884344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 008 | MS | Agencies |
| Y | 251E00000X | Home Health | 4585 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00070505 | 05 | |
| MS | 00770033 | 05 |
| Other Name | Type Code |
|---|---|
| Forrest General Home Care | Former Legal Business 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 |
| 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 SOUTH 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174553 | Healing Hands of Comfort, LLC | Home Health | 307 Cypress Ave, Hattiesburg, MS 39401-5108 | 2020-08-12 |
| 1285261453 | Agape Healthcare & Phlebotomy Services LLC | Home Health | 4906 Old Highway 11 Ste 7, Hattiesburg, MS 39402-8860 | 2020-03-26 |
| 1871137661 | Lots of Love Health Services LLC | Home Health | 1707 Lincoln Rd Ste Aandb, Hattiesburg, MS 39402-3226 | 2019-11-05 |
| 1578113890 | Lee's Love & Care LLC | Home Health | 232 Annie Ln, Hattiesburg, MS 39401-7987 | 2019-09-18 |
| 1245711654 | Steps South LLC | Home Health | 107 Dewitt Circle, Hattiesburg, MS 39402 | 2018-08-23 |
| 1932601945 | Golden Years Home Care | Home Health | 2000 Oak Grove Rd, Hattiesburg, MS 39402-1419 | 2018-03-06 |
| 1326431081 | Anointed Hands Services | Home Health | 400 Jackson St, Hattiesburg, MS 39401-2000 | 2015-03-05 |
| 1407139579 | Hands of Hope, LLC | Home Health | 121 Cooper St, Hattiesburg, MS 39401-3643 | 2011-09-24 |
| 1982936670 | Amedisys Mississippi, LLC | Home Health | 132 Mayfair Rd, Suite 1, Hattiesburg, MS 39402-1463 | 2010-02-04 |
| 1760416754 | Home Health Care Systems, Inc. | Home Health | 133 Mayfair Rd, Hattiesburg, MS 39402 | 2006-07-10 |
| 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.