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Contact Information

MS STATE DEPARTMENT OF HEALTH
350 WEST WOODROW WILSON AVENUE
HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A
JACKSON, MS39213
 Phone: 601-987-4995
 Fax: 601-987-8633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

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

NPI Profile & details for MS STATE DEPARTMENT OF HEALTH

NPI # 1730164674
LBN Legal business name MS 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 07/14/2008 - About 18 years ago
Identifiers
MS License # 7881
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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