MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1154731511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154731511 |
Entity Type | Organization |
Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
Other Organization Name | MADISON COUNTY HEALTH DEPARTMENT |
Practice Address |
309 Park Dr Canton MS 39046-3789 |
Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
Practice Telephone | 6018593316 |
Practice Fax Number | 6018590324 |
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 |
---|---|
Madison 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 |
309 PARK DR |
City | CANTON |
State | MS |
Zip Code | 39046-3789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
Find all providers in zip 39046 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760837579 | Bridging The Gap Therapy LLC | Public Health or Welfare | 1024 Foxhollow Trl, Canton, GA 30115-4357 | 2016-04-29 |
1841672599 | Farmington Valley Health District | Public Health or Welfare | 95 River Road, Canton, CT 06019-3201 | 2015-06-18 |
1417161274 | Town of Canton | Public Health or Welfare | 79 Pleasant St, Canton, MA 02021-2231 | 2007-05-10 |
1770603359 | Stark County Board of Dd | Public Health or Welfare | 2950 Whipple Ave Nw, Canton, OH 44708-1534 | 2007-03-29 |
1376658344 | Canton Friendship Center, Inc. | Public Health or Welfare | 2200 Cleveland Ave Nw, Canton, OH 44709-3609 | 2006-08-20 |
1700890779 | Stark County Auditor | Public Health or Welfare | 3969 Convenience Cir Nw, Canton, OH 44718-2600 | 2006-07-27 |
1659345718 | Cherokee County Board of Health | Public Health or Welfare | 1219 Univeter Rd, Canton, GA 30114 | 2006-02-15 |
1609846310 | Canton Community Kidsummit Against Drugs | Public Health or Welfare | 1227 Gross Ave Ne, Canton, OH 44705-1605 | 2006-01-25 |
1609343037 | Whitfield County Board of Health | Public Health or Welfare | 130 Riverstone Ter Ste 102, Canton, GA 30114-1702 | 2018-10-24 |
1982037321 | St Lawrence County Public Health Department | Public Health or Welfare | 80 Sh 310, Canton, NY 13617-1436 | 2013-08-20 |
Find all providers in CANTON |
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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.