EAST MISSISSIPPI STATE HOSPITAL (NPI# 1225342173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225342173 |
| Entity Type | Organization |
| Organization Name | EAST MISSISSIPPI STATE HOSPITAL |
| Practice Address |
4555 Highland Park Drive Meridian MS 39307 |
| Mailing Address |
P.o. Box 4128 West Station Meridian MS 39304-4128 |
| Practice Telephone | 6015817600 |
| Mailing Telephone | 6015817600 |
| Mailing Fax Number | 6015817676 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MR. CHARLES A. CARLISLE (FACILITY DIRECTOR) |
| Authorized Official Telephone | 6015817878 |
| Authorized Official Credential | MPPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 31-136 | MS | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1972689313 | East Mississippi State Hospital | Nursing Facility/Intermediate Care Facility | 4555 Highland Park Drive, Meridian, MS 39307-2903 | 2006-10-27 |
| 1346522653 | East Mississippi State Hospital | Clinic/Center | 1818 College Drive, Meridian, MS 39307-5429 | 2011-09-13 |
| 1629394853 | East Mississippi State Hospital | Nursing Facility/Intermediate Care Facility | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-04-13 |
| 1841490612 | East Mississippi State Hospital | Dentist | 1818 College Drive, Reimbursement Dept., Meridian, MS 39307-5429 | 2007-07-20 |
| 1649323254 | East Mississippi State Hospital | Psychiatric Hospital | 4555 Highland Park Dr, Meridian, MS 39307 | 2007-01-18 |
| Street Address |
4555 HIGHLAND PARK DRIVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972689313 | East Mississippi State Hospital | Nursing Facility/Intermediate Care Facility | 4555 Highland Park Drive, Meridian, MS 39307-2903 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| 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. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003397878 | Hbs of Meridian, LLC | Psychiatric Hospital | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2018-08-28 |
| 1679850150 | Alliance Health Center Inc. | Psychiatric Hospital | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2011-11-10 |
| 1649323254 | East Mississippi State Hospital | Psychiatric Hospital | 4555 Highland Park Dr, Meridian, MS 39307 | 2007-01-18 |
| 1043300825 | Lydia Ellis Weisser | Psychiatric Hospital | 1818 College Drive, Meridian, MS 39307-5429 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083160782 | Chandra Sumlin-brown Dba Sumlin Behavioral Services | Psychiatric Hospital | 8237b Okatibbee Dam Road, Collinsville, MS 39325 | 2016-09-01 |
| 1588052096 | Charles Harris Phd Pllc | Psychiatric Hospital | 1217 Nelson Dr, Ocean Springs, MS 39564-3032 | 2015-01-06 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1598943631 | Ms State Hospital Crisis Intervention Center-brookhaven | Psychiatric Hospital | 725 Brookman Dr Ext, Brookhaven, MS 39601-2311 | 2008-01-31 |
| 1568671337 | Three Oaks Behavioral Health of Ridgeland, LLC | Psychiatric Hospital | 408 Fontaine Place, Suite 101, Ridgeland, MS 39157 | 2007-05-21 |
| 1265486492 | Harrison Hma, Inc. | Psychiatric Hospital | 180a Debuys Rd, Biloxi, MS 39531-4402 | 2006-05-20 |
| 1093785859 | Uhs of Parkwood Inc | Psychiatric Hospital | 8135 Goodman Rd, Olive Branch, MS 38654-2103 | 2006-01-25 |
| 1487638441 | Brentwood Acquisition Inc | Psychiatric Hospital | 3531 Lakeland Dr, Flowood, MS 39232-8016 | 2005-12-02 |
| 1063989010 | Oceans Behavioral Hospital of Biloxi LLC | Psychiatric Hospital | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2018-10-29 |
| 1750891792 | Tbd Acquisition II LLC | Psychiatric Hospital | 11150 Highway 49, Gulfport, MS 39503-4110 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.