FORREST COUNTY GENERAL HOSPITAL (NPI# 1770715450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770715450 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | PEARL RIVER FAMILY CLINIC |
| Practice Address |
302 Highway 11 S Poplarville MS 39470-2625 |
| Mailing Address |
125 S 28th Ave Ste 326 Hattiesburg MS 39401-7152 |
| Practice Telephone | 6014038284 |
| Practice Fax Number | 6014038283 |
| Mailing Telephone | 6012881823 |
| Mailing Fax Number | 6012884360 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | MR. BEN HESTER (CFO) |
| Authorized Official Telephone | 6012884225 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
21087 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pearl River Family Clinic | 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 |
| 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 |
| 1043820426 | Forrest County General Hospital | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2020-07-31 |
| Street Address |
302 HIGHWAY 11 S |
| City | POPLARVILLE |
| State | MS |
| Zip Code | 39470-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740766252 | Stephanie Kay Bounds | Nurse Practitioner | 302 Highway 11 S, Poplarville, MS 39470-2625 | 2018-07-17 |
| 1316336993 | Allison Sutton | Social Worker | 302 Highway 11 S, Poplarville, MS 39470 | 2015-01-20 |
| 1376815134 | Grace P Ford | Nurse Practitioner | 302 Highway 11 S, Poplarville, MS 39470-2625 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735723 | Clarence Donald Case Jr. | Psychologist | Pearl River Family and Behavioral Health Clinic, 302 Hwy 11 S, Poplarville, MS 39470 | 2020-09-18 |
| 1285061895 | Freds Stores of Tennessee Inc | Pharmacy | 1388 South Main Street, Poplarville, MS 39470 | 2013-09-27 |
| 1972814127 | Grace Healthcare Dme | Durable Medical Equipment & Medical Supplies | 300 Highway 11, Suite D, Poplarville, MS 39470 | 2010-06-23 |
| 1881837128 | Cirila Reyes | Family Medicine | 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 | 2009-04-16 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1053450320 | Pearl River County Hospital | General Acute Care Hospital | 305 West Moody Street, Poplarville, MS 39470 | 2007-02-05 |
| 1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
| 1669527503 | Kelvie Culpepper | Chiropractor | 859 Hwy 26 West, Poplarville, MS 39470 | 2007-01-23 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
| 1831209477 | Ryan W Woods | Physical Therapist | 1403 South Main Street, Suite E, Poplarville, MS 39470 | 2006-08-30 |
| Find all providers in zip 39470 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | POPLARVILLE |
| Zip Code | 39470 |
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.