MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1669882270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669882270 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| Other Organization Name | MONTGOMERY COUNTY HEALTH DEPARTMENT |
| Practice Address |
707 Alberta Dr Winona MS 38967-1538 |
| Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
| Practice Telephone | 6622833655 |
| Practice Fax Number | 6622832528 |
| Mailing Telephone | 6015767635 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| 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 |
|---|---|
| Montgomery County 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 |
707 ALBERTA DR |
| City | WINONA |
| State | MS |
| Zip Code | 38967-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013055599 | Rebecca Hodges | Family Medicine | 707 Alberta Dr, Winona, MS 38967-1538 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538630835 | Zachary Leon Selby | Occupational Therapist | 1521, 409 Tyler Holmes Dr, Winona, MS 38967 | 2018-12-12 |
| 1275937211 | Tonette Holmes | Community Health Worker | 720 Simpson Dr, Winona, MS 38967 | 2014-10-20 |
| 1124274196 | Family Health Care Clinic, Inc. | Clinic/Center | 123 N Front St, Winona, MS 38967 | 2008-08-11 |
| 1588782577 | Jacquelyn D Lucas | Optometrist | 639 Middleton Rd, Winona, MS 38967 | 2007-03-27 |
| 1154447514 | Robert Manning | Dentist | 1612 Hwy 51 N, Winona, MS 38967 | 2007-03-21 |
| 1518034347 | Hammonds Pharmacy Inc | Pharmacy | 405c N Applegate, Winona, MS 38967 | 2006-11-29 |
| 1336256858 | Kilmichael Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 107 N Front Street, Winona, MS 38967 | 2006-08-23 |
| 1285649855 | Tyler Holmes Memorial Hospital | Family Medicine | 700 Woodland Drive, Winona, MS 38967 | 2006-07-30 |
| 1437676962 | Roger Beardain | Pharmacist | 603 Middleton Rd, Winona, MS 38967 | 2017-08-25 |
| 1235323643 | Kilmichael Medical Supplies | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-08-29 |
| Find all providers in zip 38967 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163977 | County of Winona | Public Health or Welfare | 60 W 3rd St, Winona, MN 55987-3431 | 2005-06-13 |
| 1790918522 | Winona Co Dept of Human Services | Public Health or Welfare | 202 W 3rd St, Winona, MN 55987-3146 | 2009-08-27 |
| 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.