NPIMap

Organization Active NPI

Mississippi State Department of Health

  • Public Health or Welfare Agency
  • Pascagoula, MS
National Provider Identifier
1174934871
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Practice address
4600 Vega St
Pascagoula, MS 39581-5303
Phone
(228) 762-1117
Fax
(228) 762-1176
NPI assigned
May 15, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Mitchell Adcock, CAO
Title
Chief Administrative Officer
Phone
(601) 576-7635

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Mississippi State Department of Health126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4600 Vega St
Pascagoula, MS 39581-5303

Mailing address

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7635

Other names 1

NPPES NPI Registry
  • Jackson County Health Department Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2014.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1174934871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-576-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 VEGA ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815303",
            "telephone_number": "228-762-1117",
            "fax_number": "228-762-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "601-576-7635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.