Organization · NPI-2
Jasper General Hospital
Family Medicine · Bay Springs, MS
NPI number1770660920
StatusActive
Last updated in NPPESJun 23, 2014
Details
- NPI
- 1770660920
- Entity type
- Organization (NPI-2)
- Legal business name
- Jasper General Hospital
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jun 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 00115455 | MS | Yes |
Other names
- Family Medical Clinic (Doing Business As)
Practice location
20 S Sixth StBay Springs, MS 39422-9055
Phone 601-764-4494 · Fax 601-764-4649
Mailing address
20 S Sixth StBay Springs, MS 39422-9055
Phone 601-764-4494 · Fax 601-764-4649
Authorized official
Marshall Kenneth Posey
Administrator
6017642101
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