MISSISSIPPI STATE DEPARTMENT OF HEALTH


Address: 204 Wm Chipley St, Carthage, MS 39051-4256
Phone: 6012673072

MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1528478898) 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) 1528478898
Entity Type Organization
Organization Name MISSISSIPPI STATE DEPARTMENT OF HEALTH
Other Organization Name LEAKE COUNTY HEALTH DEPARTMENT
Practice Address 204 Wm Chipley St
Carthage
MS 39051-4256
Mailing Address 570 E Woodrow Wilson Ave
Jackson
MS 39216-4538
Practice Telephone 6012673072
Practice Fax Number 6012676277
Mailing Telephone 6015767635
Enumeration Date 2014-05-07
Last Update Date 2014-05-07
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
Leake 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 204 WM CHIPLEY ST
City CARTHAGE
State MS
Zip Code 39051-4256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033299946 Mindy Nielsen Advanced Practice Midwife 204 Wm Chipley St, Carthage, MS 39051-4256 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598275828 Roots Healthcare and Homes, LLC Meals 292 Pickens Circle, Carthage, MS 39051 2017-09-30
1427575505 Trend Health and Rehab of Carthage Skilled Nursing Facility 1101 E. Franklin Street, Carthage, MS 39051 2017-08-29
1750738415 Telehealthone LLC Nurse Practitioner 300 South Pearl Street, Carthage, MS 39051 2016-05-23
1316297575 Silver Lining Adult Daycare, LLC Respite Care 531 Highway 35 North, Carthage, MS 39051 2012-09-14
1508179888 Mississippi Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 205 Highway 16 West, Carthage, MS 39051 2010-07-15
1376725754 Amye L Shamburger Dentist 101 S. Pearl Street, Carthage, MS 39051 2007-11-28
1770786188 Carthage Eye Clinic Pa Optometrist 201 Hwy 16 East, Carthage, MS 39051 2007-06-06
1265553762 David C Henderson Dentist 113 North Pearl St, Carthage, MS 39051 2007-04-02
1780722280 Linda N Roland Nurse Practitioner 204 Chipley St., Carthage, MS 39051 2007-02-05
1205914298 William M Myers II Dentist 12646 Hwy 488, Carthage, MS 39051 2006-11-01
Find all providers in zip 39051

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851410252 County of Jasper Public Health or Welfare 105 Lincoln St, Carthage, MO 64836-1512 2007-03-28
1619028446 State of Tennessee Public Health or Welfare 251 Joy Alford Way, Carthage, TN 37030-1429 2007-01-16
1225086697 Hancock County Health Department Public Health or Welfare 671 Wabash Ave, Carthage, IL 62321-1443 2006-05-05

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 CARTHAGE
Zip Code 39051

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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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