Mississippi State Hospital Community Services Mental Health

LBN: Mississippi State Hospital At Whitfield
Mississippi State Hospital Community Services Mental Health is an health care organization with primary practice located at 350 Capers Avenue , Jackson MS 39203. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Mississippi State Hospital At Whitfield can be contacted via phone (601) 351-8000, or through Chastain, James G via phone (601) 351-8000.

Contact Information

Primary practice address
350 Capers Avenue Jackson MS 39203
Phone: (601) 351-8000
Fax: (601) 351-8301
Website:
Map and Directions
Authorized official contact:
Name: Chastain, James G
Phone: (601) 351-8000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X DCS-MSH Mississippi

Profile Details

NPI number 1336224179
LBN Legal business name Mississippi State Hospital At Whitfield
DBA Doing business as Mississippi State Hospital Community Services Mental Health
Authorized official Chastain, James G
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2006
Last updated Mar 14th, 2012 - about 12 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 1336224179 NPPES
Mississippi MEDICAID 04972797

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