East Mississippi State Hospital

LBN: East Mississippi State Hospital
East Mississippi State Hospital is an health care organization with primary practice located at 1818 College Drive , Meridian MS 39307-5429. The organization recently has 4 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. East Mississippi State Hospital can be contacted via phone (601) 581-7818, or through Mckay, Donald R via phone (601) 581-7818.

Contact Information

Primary practice address
1818 College Drive Meridian MS 39307-5429
Phone: (601) 581-7818
Fax: (601) 581-7822
Website:
Map and Directions
Authorized official contact:
Name: Mckay, Donald R RPH
Phone: (601) 581-7818

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X Mississippi
Suppliers / Pharmacy 333600000X 01108031 Mississippi
Suppliers / Institutional Pharmacy 3336I0012X 01108031 Mississippi
Suppliers / Long Term Care Pharmacy 3336L0003X 01108031 Mississippi

Profile Details

NPI number 1649323254
LBN Legal business name East Mississippi State Hospital
DBA Doing business as
Authorized official Mckay, Donald R RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated May 14th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649323254 NPPES
Mississippi MEDICAID 00330069
Mississippi Other 2517689

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