JEFFERSON DAVIS COMMUNITY HOSPITAL – NPI #1316076524
General Acute Care Hospital

JEFFERSON DAVIS COMMUNITY HOSPITAL is a general acute care hospital located in PRENTISS, MS. NPPES has assigned the NPI number 1316076524 to JEFFERSON DAVIS COMMUNITY HOSPITAL on March 05, 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.

NPI Number
1316076524
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRENTISS REGIONAL HOSPITAL AND ECF, INC.
Doing Business As (dba): JEFFERSON DAVIS COMMUNITY HOSPITAL
Primary location
1102 ROSE ST.
PRENTISS, MS 39474
Phone: (601) 792-4276 Fax:
Mailing address
PO BOX 1288
PRENTISS, MS 39474-1288
Phone: (601) 792-4276 Fax:
Organization Subpart
No
Authorized Official
GARY MCCALL
COO
Phone: (601) 792-4276
Updated
Taxonomy Code(s)

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.