MISSISSIPPI STATE DEPARTMENT OF HEALTH (NPI# 1972914653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972914653 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| Other Organization Name | AMITE COUNTY HEALTH DEPARTMENT |
| Practice Address |
1000 Irene Street Liberty MS 39645-5193 |
| Mailing Address |
570 E Woodrow Wilson Ave Jackson MS 39216-4538 |
| Practice Telephone | 6016578351 |
| Practice Fax Number | 6016579131 |
| Mailing Telephone | 6015767635 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| 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 |
|---|---|
| Amite 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 |
| 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 |
| 1437560216 | Mississippi State Department of Health | Public Health or Welfare | 353a Highway 37, Raleigh, MS 39153-6069 | 2014-05-14 |
| Street Address |
1000 IRENE STREET |
| City | LIBERTY |
| State | MS |
| Zip Code | 39645-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1265646145 | Amite County School District | Registered Nurse | 3457 S. Greensburg Rd., Liberty, MS 39645 | 2007-05-09 |
| 1861428716 | Heather Johnson Harden | Nurse Practitioner | 138 Clinic Drive, Liberty, MS 39645 | 2006-06-23 |
| 1427567791 | Melanie Dawne Robertson | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2017-09-29 |
| 1295097269 | Karen Christine Ross | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645 | 2012-06-14 |
| 1528337367 | Care One Health | In Home Supportive Care | 171 East Main Street, Liberty, MS 39645 | 2011-12-23 |
| 1659693083 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645 | 2010-02-26 |
| 1639124183 | Liberty Drug Store, Inc. | Pharmacist | 110 E Main St, Liberty, MS 39645 | 2006-05-23 |
| Find all providers in zip 39645 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417182247 | Lake Cumberland District Health Dept | Public Health or Welfare | 1673 E Ky 70, Liberty, KY 42539-6716 | 2009-05-22 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1003950106 | Lake Cumberland District Health Dept. | Public Health or Welfare | 6295 E Ky 70, Liberty, KY 42539-6762 | 2007-02-20 |
| 1386788487 | Lake Cumberland District Health Dept | Public Health or Welfare | 75 College St, Liberty, KY 42539-3271 | 2007-02-20 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1497899033 | Lake Cumberland District Health Dept. | Public Health or Welfare | 1841 E Ky 70, Liberty, KY 42539-6718 | 2007-02-16 |
| 1881755577 | Union County Auditor | Public Health or Welfare | 6 W South St Ste 2, Liberty, IN 47353-1366 | 2006-12-13 |
| 1922009919 | County of Sullivan | Public Health or Welfare | 50 Community Ln, Liberty, NY 12754-2851 | 2005-08-02 |
| 1346246212 | Clay County Health Department | Public Health or Welfare | 800 Haines Dr., Liberty, MO 64068 | 2005-06-24 |
| 1902115736 | Sullivan County | Public Health or Welfare | 50 Community Ln, Liberty, NY 12754-2851 | 2010-09-28 |
| Find all providers in LIBERTY | ||||
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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.