South Mississippi State Hospital

LBN: South Mississippi State Hospital
South Mississippi State Hospital is an health care organization with primary practice located at 823 Highway 589 , Purvis MS 39475-4194. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. South Mississippi State Hospital can be contacted via phone (601) 794-0201, or through Ashley, Clint via phone (601) 794-0152.

Contact Information

Primary practice address
823 Highway 589 Purvis MS 39475-4194
Phone: (601) 794-0201
Fax: (601) 794-0220
Website:
Map and Directions
Authorized official contact:
Name: Ashley, Clint
Phone: (601) 794-0152

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 04871/3.1 Mississippi

Profile Details

NPI number 1679630008
LBN Legal business name South Mississippi State Hospital
DBA Doing business as South Mississippi State Hospital
Authorized official Ashley, Clint
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 2nd, 2016 - about 8 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 1679630008 NPPES
Other 2046299 PK

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