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Mississippi State Department of Health

Organization Active NPI Public Health or Welfare Agency · Hernando, MS

NPI 1497165484 · NPPES record last updated Apr 30, 2014

Key facts

NPI
1497165484
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Practice address
3212 Highway 51 S
Suite a
Hernando, MS 38632-2725
Phone
(662) 429-9814
Fax
(662) 429-2169
NPI assigned
Apr 30, 2014
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Mississippi State Department of Health (126 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

3212 Highway 51 S
Suite a
Hernando, MS 38632-2725

Mailing address

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

Other names

  • Desoto County Health Department Other name

Other providers in Hernando, MS

All providers in Hernando, MS · Public Health or Welfare Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.