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Contact Information

MISSISSIPPI STATE DEPARTMENT OF HEALTH
517 CHURCH STREET
BOONEVILLE, MS38829
 Phone: 662-728-5391
 Fax: 662-728-0132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for MISSISSIPPI STATE DEPARTMENT OF HEALTH

NPI # 1467437210
LBN Legal business name MISSISSIPPI STATE DEPARTMENT OF HEALTH
Authorized official MELANIE BOWMAN - (DIRECTOR OF HOME HEALTH)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2005
Last updated 06/08/2009 - About 17 years ago
Identifiers
MS License # 9481
MS Medicaid 00070500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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