MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1407266182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407266182 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| Other Organization Name | ITAWAMBA COUNTY HEALTH DEPARTMENT |
| Practice Address |
110 Crane St Fulton MS 38843-1713 |
| Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
| Practice Telephone | 6628623710 |
| Practice Fax Number | 6628624988 |
| Mailing Telephone | 6015767635 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| 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 |
|---|---|
| Itawamba 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 |
110 CRANE ST |
| City | FULTON |
| State | MS |
| Zip Code | 38843-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
| 1174691141 | Ronald L. Wheeler | Dentist | 1309 South Adams Street, Fulton, MS 38843 | 2006-11-30 |
| 1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
| 1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
| 1720095896 | Timothy J Evans | Nurse Practitioner | 1301 S Adams St, Fulton, MS 38843 | 2006-08-02 |
| 1376567941 | Gerald E. Klein | Chiropractor | 101 Wheeler Dr Suite B, Fulton, MS 38843 | 2006-07-27 |
| 1497197529 | Adrianna Beth Johnson | Physical Therapist | 406 Interchange Drive, Fulton, MS 38843 | 2013-07-17 |
| Find all providers in zip 38843 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817839 | Fulton City School Clinic | Public Health or Welfare | 400 W State Line St, Fulton, KY 42041-1500 | 2012-11-07 |
| 1275641938 | County of Callaway | Public Health or Welfare | 4950 County Road 304, Fulton, MO 65251-5422 | 2006-08-25 |
| 1427000454 | Purchase District Health Dept | Public Health or Welfare | 350 Browder Street, Fulton, KY 42041 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1609262955 | South Mississippi Aids Task Force, Inc. | Public Health or Welfare | 2756 Fernwood Rd, Biloxi, MS 39531-3520 | 2015-04-14 |
| 1750786158 | Mississippi Department Health | Public Health or Welfare | 1141 Bayview Ave Ste 102, Biloxi, MS 39530-1651 | 2014-10-28 |
| 1316358914 | Mississippi State Department of Health | Public Health or Welfare | 110 Cross Park Dr, Suite C, Pearl, MS 39208-9016 | 2014-05-16 |
| 1265843809 | Mississippi State Department | Public Health or Welfare | 209 S Pleasant St, Charleston, MS 38921-2325 | 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 |
| Find all providers with the same taxonomy | ||||
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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.