National Provider Identifier Database

MISSISSIPPI STATE HOSPITAL
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

MISSISSIPPI STATE HOSPITAL
3550 HIGHWAY 468 W
WHITFIELD, MS39193-5529
Phone: 601-351-8000
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MISSISSIPPI STATE HOSPITAL

NPI Number 1093994295
Legal business name
LBN
MISSISSIPPI STATE HOSPITAL
Authorized official JAMES CHASTAIN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/24/2007
Last updated 10/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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