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MONTFORT JONES MEMORIAL HOSPITAL

Hospitals General Acute Care Hospital

Provider NPI: 1659490241

Organization Information:
Organization Name:  MONTFORT JONES MEMORIAL HOSPITAL
Organization is not Subpart
Authorized Official:  JOHN  DAWSON  C.E.O.  662-289-4311

Practice Location:
220 HIGHWAY 12 W  KOSCIUSKO, MS 39090-3208 US
Tel: 662-290-3326  Fax: --

Business Mailing Address:
220 HWY 12 WEST  KOSCIUSKO, MS 39090 US
Tel: 662-289-4311  Fax: 662-290-3302

NPI Information:
NPI: 1659490241
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N282N00000XHospitals
General Acute Care Hospital
MS11-008
Y261QC0050XAmbulatory Health Care Facilities
Clinic/Center
11-008

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QC0050X

Type:

Classification:



Definition:



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