MISSISSIPPI STATE UNIVERSITY (NPI# 1891038303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891038303 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE UNIVERSITY |
| Practice Address |
325 Hardy Road Mississippi State MS 39762-9736 |
| Mailing Address |
325 Hardy Road Mississippi State MS 39762-0721 |
| Practice Telephone | 6623251028 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | ERIC KNOX (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6623251028 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
OT2774 | MS | Ambulatory Health Care Facilities |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
OT2774 | MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012255 | Mississippi State University | Clinic/Center | 2 Hardy Rd, Mississippi State, MS 39762 | 2005-12-02 |
| 1720581374 | Mississippi State University | Occupational Therapy Assistant | 326 Hardy Road, Mississippi State, MS 39762 | 2018-03-09 |
| 1659643179 | Mississippi State University | Clinic/Center | 326 Hardy Road, Mississippi State, MS 39762-9736 | 2012-01-30 |
| 1659357978 | Mississippi State University | Pharmacist | 2 Hardy Road, Mississippi State, MS 39762 | 2005-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISSISSIPPI STATE UNIVERSITY | 100 Research Boulevard, Suite 105, Starkville, MS 39759-7810 |
| System for Award Management (SAM) Entities | MISSISSIPPI STATE UNIVERSITY ASSURE RESEARCH & DEVELOPMENT CORPORATION | 100 Research Blvd Ste 105, Starkville, MS 39759-7810 |
| Street Address |
325 HARDY ROAD |
| City | MISSISSIPPI STATE |
| State | MS |
| Zip Code | 39762-9736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467956508 | Jimmy Eric Knox | Occupational Therapist | 326 Hordy Rd, Mississippi State, MI 39762 | 2018-03-22 |
| 1912440082 | Brittany Winter | Specialist/Technologist | 235 Lakeview Dr, Mississippi State, MS 39762 | 2016-11-22 |
| 1699177477 | Denty Paul Vaughn Jr. | Veterinarian | 240 Wise Center Dr, Mississippi State, MS 39762 | 2014-09-23 |
| 1497163422 | Olivia Vita-farnsworth | Specialist/Technologist | 288 Lakeview Drive, Mississippi State, MS 39762 | 2014-07-22 |
| 1497939052 | T. K. Martin Center for Technology & Disability | Rehabilitation Counselor | 326 Hardy Road, Mississippi State, MS 39762 | 2007-12-19 |
| 1134339898 | Christopher Scott Johnson | Specialist/Technologist | Humphrey Coliseum-coliseum Drive, Mississippi State University, Mississippi State, MS 39762 | 2007-05-23 |
| 1780787622 | Stephen Paul Mock | Specialist/Technologist | 1 Shira Fieldhouse, Lakeview Drive, Mississippi State, MS 39762 | 2006-09-06 |
| 1366455685 | Mary Kathryn Mclendon | Specialist/Technologist | Lakeview Drive, Shira Field House, Mississippi State, MS 39762 | 2006-08-15 |
| 1245290386 | Katrina Poe | Family Medicine | 360 Hardy Road, Misissippi State University, MS 39762 | 2006-03-24 |
| 1225012255 | Mississippi State University | Clinic/Center | 2 Hardy Rd, Mississippi State, MS 39762 | 2005-12-02 |
| Find all providers in zip 39762 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548720568 | First Choice Family Healthcare Clinic Pllc | Clinic/Center | 119 S Oak Ste 2, Raymond, MS 39154-4205 | 2019-03-25 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
| 1144407420 | Southwest Health Agency for Rural People, Inc | Clinic/Center | 501 Eagle Day Ave, Columbia, MS 39429-3605 | 2008-01-29 |
| 1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
| 1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
| 1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| Find all providers with the same taxonomy | ||||
| City | MISSISSIPPI STATE |
| Zip Code | 39762 |
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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.