National Provider Identifier Database

GEORGE COUNTY HOSPITAL ERP
Rural


Contact Information

GEORGE COUNTY HOSPITAL- ERP
859 WINTER ST
LUCEDALE, MS39452-6603
Phone: 601-947-9148
Fax: 601-947-9206
Website:
Specialty Taxonomy Code
* Rural 282NR1301X

* Indicates primary specialty

NPI Profile & details for GEORGE COUNTY HOSPITAL- ERP

NPI Number 1093752602
Legal business name
LBN
GEORGE COUNTY HOSPITAL- ERP
Authorized official PAUL GARDNER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/01/2006
Last updated 11/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 11-166
  • MS Medicaid: 09013609
  • MS Other: 000019120 BLUE CROSS OF MISSISSIPPI
  • MS Other: C00154 MEDICARE GROUP NUMBER
  • MS Other: C00955 MEDICARE GROUP NUMBER

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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