MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI 1578973988

NPI Information

MISSISSIPPI STATE DEPARTMENT OF HEALTH is a public health or welfare in Jackson, MS. MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI is 1578973988. The provider is registered as an organization entity type.
The provider Other Name Is Crossroads/hinds County Health Department.

The provider's business location address is:

350 W WOODROW WILSON AVE
SUITE 3516
JACKSON, MS
ZIP 39213-681
Phone: (601) 432-3237
Fax: (601) 987-5595

The provider's authorized official is Mitchell Adcock .
The authorized official title is Chief Administrative Officer and has the following contact phone number (601) 576-7635.

The CLIA number assigned to this NPI record is 25D0884476 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/7/2014 and was last updated on 5/7/2014.

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:

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