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JEFFERSON COUNTY HOSPITAL

Rural

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Contact Information

JEFFERSON COUNTY HOSPITAL
870 SOUTH MAIN STREET
FAYETTE, MS  39069-0577
 Phone: 601-786-3401
 Fax: 601-786-3400
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rural

 282NR1301X
 

General Acute Care Hospital

 282N00000X A0[7] Hospital-General
 

Psychiatric Unit

 273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for JEFFERSON COUNTY HOSPITAL

NPI # 1043204555
LBN Legal business name JEFFERSON COUNTY HOSPITAL
Authorized official JERRY KENNEDY - (INTERM CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2005
Last updated 03/22/2024 - About 2 years ago
Identifiers
MS License # 21238
MS Other C02109 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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