MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1801207956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801207956 |
Entity Type | Organization |
Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
Other Organization Name | JONES COUNTY HEALTH DEPARTMENT |
Practice Address |
5168 Highway 11 N Ellisville MS 39437-5050 |
Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
Practice Telephone | 6014263258 |
Practice Fax Number | 6014251080 |
Mailing Telephone | 6015767635 |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |
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 |
---|---|
Jones 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 |
5168 HIGHWAY 11 N |
City | ELLISVILLE |
State | MS |
Zip Code | 39437-5050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
Find all providers in zip 39437 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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 |
City | ELLISVILLE |
Zip Code | 39437 |
Please comment or provide details below to improve the information on MISSISSIPPI STATE DEPARTMENT OF HEALTH.
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.