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Contact Information

GEORGE COUNTY HOSPITAL- ERP
859 WINTER ST
LUCEDALE, MS39452-6603
 Phone: 601-947-9148
 Fax: 601-947-9206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural

282NR1301X
Indicates primary specialty

NPI Profile & details for GEORGE COUNTY HOSPITAL- ERP

NPI Number 1093752602
LBN Legal business name GEORGE COUNTY HOSPITAL- ERP
Authorized official PAUL GARDNER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 11/15/2010 - About 16 years ago
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 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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