NPIMap

Organization Active NPI

Mississippi State Hospital

Doing business as Mississippi State Hospital Chemical Dependency Unit

  • Substance Abuse Rehabilitation Facility
  • Whitfield, MS
National Provider Identifier
1093994295
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MISSISSIPPI STATE HOSPITAL
Doing business as
Mississippi State Hospital Chemical Dependency Unit
Practice address
3550 Highway 468 W
Whitfield, MS 39193-5529
Phone
(601) 351-8000
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James G. Chastain
Title
Director
Phone
(601) 351-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3550 Highway 468 W
Whitfield, MS 39193-5529

Mailing address

3550 Highway 468 W
Whitfield, MS 39193-5529
Phone (601) 351-8000

Other names 1

  • Mississippi State Hospital Chemical Dependency Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ms State Hospital Crisis Intervention Center - Clevenlan21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1093994295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391935529",
            "telephone_number": "601-351-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391935529",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-351-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi State Hospital Chemical Dependency Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitfield, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.