| Organization Name: | MISSISSIPPI STATE HOSPITAL |
| NPI Number: | 1598750135 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI S. VEAZEY (PHARMACY DIRECTOR) |
| Mailing Address: | Hwy 475 Whitfield |
| State: | MS US |
| Postal Code: | 39193 |
| Phone Number: | 6013518026 |
| Fax Number: | 6013518255 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 01000/03.1 |
| 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. |