Provider Demographics
NPI:1184132219
Name:NESHOBA COUNTY GENERAL HOSPITAL
Entity type:Organization
Organization Name:NESHOBA COUNTY GENERAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:HESTER
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-663-1233
Mailing Address - Street 1:1002 SAINT FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2030
Mailing Address - Country:US
Mailing Address - Phone:601-663-1200
Mailing Address - Fax:601-663-1286
Practice Address - Street 1:1002 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2030
Practice Address - Country:US
Practice Address - Phone:601-663-1200
Practice Address - Fax:601-663-1286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NESHOBA COUNTY GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center