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Contact Information

EAST MISSISSIPPI STATE HOSPITAL
1818 COLLEGE DRIVE
REIMBURSEMENT DEPT.
MERIDIAN, MS39307-5429
 Phone: 601-581-7562
 Fax: 601-581-7676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EAST MISSISSIPPI STATE HOSPITAL

NPI Number 1841490612
LBN Legal business name EAST MISSISSIPPI STATE HOSPITAL
Authorized official CHARLES CARLISLE - (HOSPITAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/20/2007
Last updated 05/12/2020 - About 6 years ago
Identifiers
MS License # 31-136
MS Medicaid 09422269
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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