Active NPI
Pact Services
- Community/Behavioral Health Agency
- Olive Branch, MS
National Provider Identifier
1689069965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PACT SERVICES
- Practice address
- 7588 Highway 178
Olive Branch, MS 38654-8598 - Phone
- (662) 420-7392
- Fax
- (662) 420-7481
- NPI assigned
- Apr 2, 2015
- Organization subpart
- Yes
- Parent organization
- REGION IV MENTAL HEALTH SERVICES
Authorized official
NPPES NPI Registry- Name
- Mr. Charlie D Spearman Sr.
- Title
- Executive Director
- Phone
- (662) 287-9883
Corporate family (same tax ID) 30
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National Provider Directory
National Provider Directory- Tax ID family
- Southaven Services
- Part of
- Southaven Services
Locations
7588 Highway 178
Olive Branch, MS 38654
Phone (662) 420-7392
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7588 Highway 178
Olive Branch, MS 38654-8598
Mailing address
PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-9883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2015.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427932800000",
"number": "1689069965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"city": "CORINTH",
"state": "MS",
"postal_code": "388350839",
"telephone_number": "662-286-9883",
"fax_number": "662-284-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7588 HIGHWAY 178",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548598",
"telephone_number": "662-420-7392",
"fax_number": "662-420-7481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGION IV MENTAL HEALTH SERVICES",
"enumeration_date": "2015-04-02",
"last_updated": "2015-04-02",
"status": "A",
"authorized_official_last_name": "SPEARMAN",
"authorized_official_first_name": "CHARLIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "662-287-9883",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.