Pearl Wic Distribution Center

LBN: Mississippi State Department Of Health
Pearl Wic Distribution Center is an health care organization with primary practice located at 110 Cross Park Dr Suite C, Pearl MS 39208-9016. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Mississippi State Department Of Health can be contacted via phone (601) 939-0450, or through Adcock, Mitchell via phone (601) 576-7635.

Contact Information

Primary practice address
110 Cross Park Dr Suite C Pearl MS 39208-9016
Fax: (601) 420-5160
Website:
Authorized official contact:
Name: Adcock, Mitchell CAO

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1316358914
LBN Legal business name Mississippi State Department Of Health
DBA Doing business as Pearl Wic Distribution Center
Authorized official Adcock, Mitchell CAO
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2014
Last updated May 16th, 2014 - about 11 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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