JEFFERSON DAVIS COMMUNITY HOSPITAL – NPI #1063620110
General Acute Care Hospital
JEFFERSON DAVIS COMMUNITY HOSPITAL is a general acute care hospital located in PRENTISS, MS. NPPES has assigned the NPI number 1063620110 to JEFFERSON DAVIS COMMUNITY HOSPITAL on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON DAVIS COMMUNITY HOSPITAL” is a dba name, the actual legal business name for this organization is PRENTISS REGIONAL HOSPITAL AND ECF, INC.. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON DAVIS COMMUNITY HOSPITAL below.
NPI Profile for
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
(more than 19 years ago)
PRENTISS, MS 39474 Phone: (601) 792-4276 Fax: (601) 792-2947
PRENTISS, MS 39474-1288 Phone: (601) 792-4276 Fax: (601) 792-2947
COO
Phone: (601) 792-4276
Identifiers for JEFFERSON DAVIS COMMUNITY HOSPITAL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MS | 09014591 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 282NC0060X - General Acute Care Hospital / Critical Access (Primary) |
MS | 16-179 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.