NPIMap

Organization Active NPI

Ms State Hospital Crisis Intervention Center - Grenada

  • Psychiatric Hospital
  • Grenada, MS
National Provider Identifier
1487854733
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
31-341 Issued in MS
Legal business name
MS STATE HOSPITAL CRISIS INTERVENTION CENTER - GRENADA
Practice address
1970 Grandview Dr
Grenada, MS 38901-5066
Phone
(601) 351-8000
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 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
Psychiatric Hospital 283Q00000X 31-341 MS Primary

Addresses

Primary practice location

1970 Grandview Dr
Grenada, MS 38901-5066

Mailing address

1970 Grandview Dr
Grenada, MS 38901-5066
Phone (601) 351-8000

National Provider Directory

National Provider Directory
Tax ID family
Jaquith Nursing Home - Jaquith Inn21 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

Locations

1970 Grandview Dr
Grenada, MS 38901
Phone (662) 227-3700

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1487854733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 GRANDVIEW DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015066",
            "telephone_number": "601-351-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 GRANDVIEW DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015066",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS STATE HOSPITAL CRISIS INTERVENTION CENTER - GRENADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "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": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MS",
            "license": "31-341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

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