Preferred PHP LLC

Organization Active NPI Psychiatric Hospital · Jackson, MS

NPI 1225611528 · NPPES record last updated May 4, 2021

Key facts

NPI
1225611528
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
Legal business name
PREFERRED PHP LLC
Practice address
1059 Ridgewood PL FL 2
Jackson, MS 39211-2018
Phone
(601) 957-3211
Fax
(601) 957-9753
NPI assigned
May 4, 2021
Organization subpart
No

Authorized official

Name
Krishan K Gupta, MD
Title
Ceo
Phone
(601) 957-3211

Practitioners 24

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

National Provider Directory

Locations

1059 Ridgewood Pl
Fl 2
Jackson, MS 39211
Phone (601) 957-3211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Yes

Addresses

Primary practice location

1059 Ridgewood PL FL 2
Jackson, MS 39211-2018

Mailing address

PO Box 13531
Jackson, MS 39236-3531
Phone (601) 957-3211

Other providers in Jackson, MS

All providers in Jackson, MS · Psychiatric Hospital in Mississippi

Sources for this page

Verify at the official NPI Registry.