James T. Champion Nursing Facility

LBN: East Mississippi State Hospital
James T. Champion Nursing Facility is an health care organization with primary practice located at 4555 Highland Park Dr , Meridian MS 39307-5429. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. East Mississippi State Hospital can be contacted via phone (601) 581-7600, or through Carlisle, Charles via phone (601) 581-7878.

Contact Information

Primary practice address
4555 Highland Park Dr Meridian MS 39307-5429
Phone: (601) 581-7600
Fax: (601) 581-7676
Website:
Map and Directions
Authorized official contact:
Name: Carlisle, Charles
Phone: (601) 581-7878

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 1034 Mississippi

Profile Details

NPI number 1629394853
LBN Legal business name East Mississippi State Hospital
DBA Doing business as James T. Champion Nursing Facility
Authorized official Carlisle, Charles
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 13th, 2010
Last updated May 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629394853 NPPES
Mississippi MEDICAID 01831556

Popular Providers