Mississipp State Department Of Health

LBN: Mississipp State Department Of Health
Mississipp State Department Of Health is an health care organization with primary practice located at 3156 Lawson Street , Jackson MS 39213. The organization recently has 3 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Suppliers / Clinic Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Mississipp State Department Of Health can be contacted via phone (601) 713-3457, or through Liddell, Felicia Shanee via phone (601) 713-3457.

Contact Information

Primary practice address
3156 Lawson Street Jackson MS 39213
Phone: (601) 713-3457
Fax: (601) 364-2670
Website:
Map and Directions
Authorized official contact:
Name: Liddell, Felicia Shanee
Phone: (601) 713-3457

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 01085 05.1 Mississippi
Suppliers / Clinic Pharmacy 3336C0002X 0108505.1 Mississippi
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1376606582
LBN Legal business name Mississipp State Department Of Health
DBA Doing business as
Authorized official Liddell, Felicia Shanee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Dec 27th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376606582 NPPES
Other 2517196 NCPDP

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