Organization Name: | EAST MISSISSIPPI STATE HOSPITAL |
NPI Number: | 1225342173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES A. CARLISLE (FACILITY DIRECTOR) |
Mailing Address: | 4555 Highland Park Drive Meridian |
State: | MS US |
Postal Code: | 39307 |
Phone Number: | 6015817600 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 31-136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |