NPIMap

Organization Active NPI

East Mississippi State Hospital

  • Psychiatric Hospital Unit
  • Meridian, MS
National Provider Identifier
1407269756
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
31-136 Issued in MS
Legal business name
EAST MISSISSIPPI STATE HOSPITAL
Practice address
1401 College Dr
Meridian, MS 39307-5345
Phone
(601) 587-7562
Fax
(601) 581-7707
NPI assigned
Jun 4, 2014
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BRADLEY A. SANDERS ADOLESCENT COMPLEXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mr. William Hamrick Entrekin
Title
Business Services Director
Phone
(601) 581-7969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 31-136 MS Primary

Addresses

Primary practice location

1401 College Dr
Meridian, MS 39307-5345

Mailing address

PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-7562

National Provider Directory

National Provider Directory
Tax ID family
East Mississippi State5 organizations share this tax ID, including this one
Part of
East Mississippi State

Other organizations with this tax ID 4

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

Locations

1401 College Dr
Meridian, MS 39307
Phone (601) 587-7562

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1407269756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393044128",
            "telephone_number": "601-581-7562",
            "fax_number": "601-581-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COLLEGE DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075345",
            "telephone_number": "601-587-7562",
            "fax_number": "601-581-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSISSIPPI STATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADLEY A. SANDERS ADOLESCENT COMPLEX",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "ENTREKIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAMRICK",
        "authorized_official_title_or_position": "BUSINESS SERVICES DIRECTOR",
        "authorized_official_telephone_number": "601-581-7969",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": "31-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.