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MISSISSIPPI STATE UNIVERSITY NPI 1225012255


NPI Information

NPI: 1225012255
Provider Name: MISSISSIPPI STATE UNIVERSITY

Doing Business As: JOHN C LONGEST STUDENT HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
360 HARDY RD
MISSISSIPPI STATE, MS
ZIP 39762
Phone: (662) 325-2431
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MISSISSIPPI STATE UNIVERSITY is a student health clinic center in Mississippi State, MS. MISSISSIPPI STATE UNIVERSITY NPI is 1225012255. The provider is registered as an organization entity type.
The provider Is Doing Business As John C Longest Student Health Center.

The provider's business location address is:

360 HARDY RD
MISSISSIPPI STATE, MS
ZIP 39762
Phone: (662) 325-2431
Fax: (662) 325-8888

The provider's authorized official is Daniel T Hale .
The authorized official title is Clinic Business Administrator and has the following contact phone number (662) 325-5895.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 9/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109012379MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.