Mississippi State Department Of Health

LBN: Mississippi State Department Of Health
Mississippi State Department Of Health is an health care organization with primary practice located at 8705 Northwest Dr Suite 1, Southaven MS 38671-2430. 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 (662) 393-2775, or through Lucius, Michael S via phone (601) 576-7853.

Contact Information

Primary practice address
8705 Northwest Dr Suite 1 Southaven MS 38671-2430
Phone: (662) 393-2775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lucius, Michael S
Phone: (601) 576-7853

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1922384551
LBN Legal business name Mississippi State Department Of Health
DBA Doing business as
Authorized official Lucius, Michael S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 14 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 1922384551 NPPES
Mississippi MEDICAID 00020500

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