Organization · NPI-2
Jasper General Hospital
Clinic/Center, Rural Health · Bay Springs, MS
NPI number1245870823
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1245870823
- Entity type
- Organization (NPI-2)
- Legal business name
- Jasper General Hospital
- Organization subpart
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Jasper County After Hours Clinic (Doing Business As)
Practice location
27 S Sixth StBay Springs, MS 39422-9052
Phone 601-764-2155 · Fax 601-764-2150
Mailing address
Po Box 527Bay Springs, MS 39422-0527
Authorized official
Griff M Kelly
Cfo
6017642101
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