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Organization Active NPI

Mississippi State Hospital Whitfield

Doing business as Whitfield Medical Surgical Hospital Room & Board Psych

  • Psychiatric Hospital Unit
  • Pearl, MS
National Provider Identifier
1255417457
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11-298 Issued in MS
Legal business name
MISSISSIPPI STATE HOSPITAL WHITFIELD
Doing business as
Whitfield Medical Surgical Hospital Room & Board Psych
Practice address
3550 Highway 468 W
Pearl, MS 39208-5529
Phone
(601) 351-8000
Fax
(601) 351-8301
NPI assigned
Oct 31, 2006
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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
Psychiatric Hospital Unit 273R00000X 11-298 MS Primary

Addresses

Primary practice location

3550 Highway 468 W
Pearl, MS 39208-5529

Mailing address

PO Box 157a
Whitfield, MS 39193-0157
Phone (601) 351-8000

Other identifiers 1

IdentifierTypeStateIssuer
00020011MedicaidMS

Other names 1

  • Whitfield Medical Surgical Hospital Room & Board Psych Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 14

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1255417457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085529",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE HOSPITAL WHITFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-11-29",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": "11-298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitfield Medical Surgical Hospital Room & Board Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.