MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1053721589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053721589 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| Other Organization Name | ABERDEEN COUNTY HEALTH DEPARTMENT |
| Practice Address |
302 S Chestnut St Aberdeen MS 39730-3220 |
| Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
| Practice Telephone | 6623698132 |
| Practice Fax Number | 6623694055 |
| Mailing Telephone | 6015767635 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | MR. MITCHELL ADCOCK (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 6015767635 |
| Authorized Official Credential | CAO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Aberdeen County Health Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316358914 | Mississippi State Department of Health | Public Health or Welfare | 110 Cross Park Dr, Suite C, Pearl, MS 39208-9016 | 2014-05-16 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1952712630 | Mississippi State Department of Health | Public Health or Welfare | 140 W Mill Road, Bude, MS 39630-7036 | 2014-05-15 |
| 1285045955 | Mississippi State Department of Health | Public Health or Welfare | 7547 Highway 11, Carriere, MS 39426-8904 | 2014-05-15 |
| 1972914653 | Mississippi State Department of Health | Public Health or Welfare | 1000 Irene Street, Liberty, MS 39645-5193 | 2014-05-15 |
| 1609287374 | Mississippi State Department of Health | Public Health or Welfare | 1510 Central Ave E, Wiggins, MS 39577-9633 | 2014-05-15 |
| 1275944993 | Mississippi State Department of Health | Public Health or Welfare | 1185a N Frontage Rd, Prentiss, MS 39474-9302 | 2014-05-15 |
| 1366853087 | Mississippi State Department of Health | Public Health or Welfare | 600 S Arrington Ave, Collins, MS 39428-4159 | 2014-05-15 |
| 1396156063 | Mississippi State Department of Health | Public Health or Welfare | 6912 Washington Ave, Ocean Springs, MS 39564-2133 | 2014-05-15 |
| 1043621881 | Mississippi State Department of Health | Public Health or Welfare | 856 Highway 90, Suite A, Bay St Louis, MS 39520-2736 | 2014-05-14 |
| Street Address |
302 S CHESTNUT ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437473337 | Harford County Health Department | Public Health or Welfare | 253 Paradise Rd, Hchd Teen Diversion, Aberdeen, MD 21001-2324 | 2010-03-22 |
| 1952506420 | Stafford Creek Correction Center | Public Health or Welfare | 191 Constantine Way, Aberdeen, WA 98520-9504 | 2007-06-15 |
| 1992239172 | Power County Hospital District | Public Health or Welfare | 50 South Main St, Aberdeen, ID 83210 | 2017-04-14 |
| 1871725994 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2009-08-24 |
| 1346473477 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2009-08-24 |
| 1164655296 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2009-08-24 |
| 1447442694 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2007-08-13 |
| 1184774796 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2007-01-12 |
| 1992855506 | Grays Harbor County Treasurer | Public Health or Welfare | 2109 Sumner Ave, Aberdeen, WA 98520-3600 | 2007-01-12 |
| 1821002676 | Keypoint Health | Public Health or Welfare | 135 N Parke St, Aberdeen, MD 21001-2428 | 2006-07-28 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.