National Provider Identifier Database

MONTFORT JONES MEMORIAL HOSPITAL
Critical Access Hospital

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.


Contact Information

MONTFORT JONES MEMORIAL HOSPITAL
220 HIGHWAY 12 W
KOSCIUSKO, MS39090-3208
Phone: 662-290-3326
Fax:
Website:
Specialty Taxonomy Code
* Critical Access Hospital 261QC0050X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for MONTFORT JONES MEMORIAL HOSPITAL

NPI Number 1659490241
Legal business name
LBN
MONTFORT JONES MEMORIAL HOSPITAL
Authorized official JOHN DAWSON - (C.E.O.)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: 11-008
  • MS License #: 11-008

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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