Provider Demographics
NPI:1376166900
Name:GEORGE COUNTY HOSPITAL
Entity Type:Organization
Organization Name:GEORGE COUNTY HOSPITAL
Other - Org Name:STONNINGTON ORTHOPEDICS AND JOINT REPLACEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-766-4212
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-0607
Mailing Address - Country:US
Mailing Address - Phone:601-766-4212
Mailing Address - Fax:601-947-9948
Practice Address - Street 1:57 DEWEY ST
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-5707
Practice Address - Country:US
Practice Address - Phone:601-947-3161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEORGE REGIONAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-18
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty