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Contact Information

EAST MISSISSIPPI STATE HOSPITAL
1818 COLLEGE DRIVE
MERIDIAN, MS39307-5429
 Phone: 601-581-7818
 Fax: 601-581-7822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for EAST MISSISSIPPI STATE HOSPITAL

NPI Number 1649323254
LBN Legal business name EAST MISSISSIPPI STATE HOSPITAL
Authorized official DONALD MCKAY - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 05/14/2024 - About 2 years ago
Identifiers
MS License # 01108031
MS Medicaid 00330069
Other 2517689 NCPDP
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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