Exhibit 32.1


                          PROVINCE HEALTHCARE COMPANY

                           CERTIFICATIONS PURSUANT TO

       RULE 13a-14(b) OF THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED,
               AND 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO
                 SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


         In connection with the Report of Province Healthcare Company (the
"Company") on Form 10-Q for the quarter ended September 30, 2003, as filed with
the Securities and Exchange Commission (the "SEC") on the date hereof (the
"Report"), Martin S. Rash, Chief Executive Officer of the Company, and
Christopher T. Hannon, Chief Financial Officer of the Company certify, pursuant
to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of
Section 1350, Chapter 63 of Title 18, United States Code) that:

         (1)      The Report fully complies with the requirements of Section
13(a) or 15(d) of the Securities Exchange Act of 1934 (the "Exchange Act"); and

         (2)      Information contained in the Report fairly presents, in all
material respects, the financial condition and results of operations of the
Company.


Date: November 10, 2003


                                    /s/ Martin S. Rash
                                    -------------------------------------------
                                    Martin S. Rash
                                    Chief Executive Officer

                                    /s/Christopher T. Hannon
                                    -------------------------------------------
                                    Christopher T. Hannon
                                    Chief Financial Officer