Organization Name: | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
NPI Number: | 1003226903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MITCHELL ADCOCK (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 8705 Northwest Dr Building A, Suite 1 Southaven |
State: | MS US |
Postal Code: | 386712430 |
Phone Number: | 6623932775 |
Fax Number: | 6623932819 |
NPI Enumeration Date: | 04/30/2014 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |