MISSISSIPPI STATE DEPARTMENT OF HEALTH


Address: 2761 Highway 15 S, Bay Springs, MS 39422-7432
Phone: 6017642419

MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1467863241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467863241
Entity Type Organization
Organization Name MISSISSIPPI STATE DEPARTMENT OF HEALTH
Other Organization Name JASPER COUNTY HEALTH DEPARTMENT
Practice Address 2761 Highway 15 S
Bay Springs
MS 39422-7432
Mailing Address 570 E Woodrow Wilson Ave
Jackson
MS 39216-4538
Practice Telephone 6017642419
Practice Fax Number 6017642585
Mailing Telephone 6015767635
Enumeration Date 2014-05-14
Last Update Date 2014-05-14
Authorized Official Name MR. MITCHELL ADCOCK (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Telephone 6015767635
Authorized Official Credential CAO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider/Organization Names

Other Name Type Code
Jasper County Health Department Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2761 HIGHWAY 15 S
City BAY SPRINGS
State MS
Zip Code 39422-7432

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952873994 Family Health Care Clinic, Inc Clinic/Center 298 Hwy 18 West, Bay Springs, MS 39422 2018-12-31
1578019808 Rebecca Little Nurse Practitioner 27 S. 6th Street, Bay Springs, MS 39422 2016-08-28
1689930372 Region Ten Commission On Mental Health Clinic/Center 9 North Second Street, Bay Springs, MS 39422 2012-04-06
1760790778 Bay Springs Eye Care LLC Optometrist 16 South 6th Street, Bay Springs, MS 39422 2010-09-24
1174787915 Tracy Lee Williams Dentist 12 South 6th Street, Bay Springs, MS 39422 2008-07-10
1316137052 Bethany Ann South Optometrist 16 South 16th St, Bay Springs, MS 39422 2007-07-30
1972717858 Dr. Benjamin J. Hodges and Associates, P.a. Dentist 2683 Hwy. 15, 2683 Hwy. 15, Bay Springs, MS 39422 2007-05-09
1003983420 Paul Alan Little Chiropractor 13 East 8th Avenue, Bay Springs, MS 39422 2006-11-29
1194825513 Mary E Clawson Internal Medicine Family Medical Clinic, 20 South 6th Street, Bay Springs, MS 39422 2006-09-25
1023118817 Jasper General Hospital Durable Medical Equipment & Medical Supplies 15 A South 6th Street, Bay Springs, MS 39422 2006-09-22
Find all providers in zip 39422

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City BAY SPRINGS
Zip Code 39422

Improve Information

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Dataset Information

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.

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