MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1396156683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396156683 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| Other Organization Name | CROSSROADS SOUTH HEALTH DEPARTMENT |
| Practice Address |
300 Rawls Dr Suite 500 Mccomb MS 39648-2877 |
| Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
| Practice Telephone | 6012494386 |
| Practice Fax Number | 6012494390 |
| Mailing Telephone | 6015767635 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | MR. MITCHELL ADCOCK (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 6015767635 |
| Authorized Official Credential | CAO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| CrossRoads South Health Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316358914 | Mississippi State Department of Health | Public Health or Welfare | 110 Cross Park Dr, Suite C, Pearl, MS 39208-9016 | 2014-05-16 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1952712630 | Mississippi State Department of Health | Public Health or Welfare | 140 W Mill Road, Bude, MS 39630-7036 | 2014-05-15 |
| 1285045955 | Mississippi State Department of Health | Public Health or Welfare | 7547 Highway 11, Carriere, MS 39426-8904 | 2014-05-15 |
| 1972914653 | Mississippi State Department of Health | Public Health or Welfare | 1000 Irene Street, Liberty, MS 39645-5193 | 2014-05-15 |
| 1609287374 | Mississippi State Department of Health | Public Health or Welfare | 1510 Central Ave E, Wiggins, MS 39577-9633 | 2014-05-15 |
| 1275944993 | Mississippi State Department of Health | Public Health or Welfare | 1185a N Frontage Rd, Prentiss, MS 39474-9302 | 2014-05-15 |
| 1366853087 | Mississippi State Department of Health | Public Health or Welfare | 600 S Arrington Ave, Collins, MS 39428-4159 | 2014-05-15 |
| 1396156063 | Mississippi State Department of Health | Public Health or Welfare | 6912 Washington Ave, Ocean Springs, MS 39564-2133 | 2014-05-15 |
| 1043621881 | Mississippi State Department of Health | Public Health or Welfare | 856 Highway 90, Suite A, Bay St Louis, MS 39520-2736 | 2014-05-14 |
| Street Address |
300 RAWLS DR SUITE 500 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990732 | Wendy Haydel Blue | Physical Therapist | 300 Rawls Dr, Ste 700a, Mccomb, MS 39648-2872 | 2005-05-24 |
| 1225499452 | Jennifer Meilstrup | Nurse Practitioner | 300 Rawls Dr, Mccomb, MS 39648-2877 | 2016-03-16 |
| 1306226865 | Celena A Dalton | Nurse Practitioner | 300 Rawls Dr, 1500, Mccomb, MS 39648-2877 | 2015-05-31 |
| 1730587767 | Kathryn Amanda Arnold | Nurse Practitioner | 300 Rawls Dr, Suite 1500, Mccomb, MS 39648-2877 | 2014-12-08 |
| 1538582531 | Marcella Roberts | Nurse Practitioner | 300 Rawls Dr, Ste 600, Mccomb, MS 39648-2877 | 2014-01-27 |
| 1578719225 | Orthopaedic Clinics of Sw Mississippi Pa | Specialist | 300 Rawls Dr, Medical Arts Building Suite 400, Mccomb, MS 39648-2877 | 2008-08-13 |
| 1093972929 | Ellen K Haddad | Psychiatry & Neurology | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-05-19 |
| 1730367574 | Benjamin Simo | Specialist | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-02-04 |
| 1043421167 | Rosalin Marie Landrews | Social Worker | 300 Rawls Dr, Suite 900, Mccomb, MS 39648 | 2007-05-24 |
| 1265563423 | Bert S. Haydel | Physical Therapist | 300 Rawls Dr, Suite 700a, Mccomb, MS 39648-2877 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497166789 | Mississippi State Department of Health | Public Health or Welfare | 114 E Presley Blvd, Mccomb, MS 39648-5908 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1609262955 | South Mississippi Aids Task Force, Inc. | Public Health or Welfare | 2756 Fernwood Rd, Biloxi, MS 39531-3520 | 2015-04-14 |
| 1750786158 | Mississippi Department Health | Public Health or Welfare | 1141 Bayview Ave Ste 102, Biloxi, MS 39530-1651 | 2014-10-28 |
| 1316358914 | Mississippi State Department of Health | Public Health or Welfare | 110 Cross Park Dr, Suite C, Pearl, MS 39208-9016 | 2014-05-16 |
| 1265843809 | Mississippi State Department | Public Health or Welfare | 209 S Pleasant St, Charleston, MS 38921-2325 | 2014-05-16 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1952712630 | Mississippi State Department of Health | Public Health or Welfare | 140 W Mill Road, Bude, MS 39630-7036 | 2014-05-15 |
| 1285045955 | Mississippi State Department of Health | Public Health or Welfare | 7547 Highway 11, Carriere, MS 39426-8904 | 2014-05-15 |
| 1972914653 | Mississippi State Department of Health | Public Health or Welfare | 1000 Irene Street, Liberty, MS 39645-5193 | 2014-05-15 |
| 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.