NPIMap

Organization Active NPI

Mississippi State University

  • Community Health Clinic/Center
  • Mississippi State, MS
National Provider Identifier
1891038303
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
OT2774 Issued in MS
Legal business name
MISSISSIPPI STATE UNIVERSITY
Practice address
325 Hardy Road
Mississippi State, MS 39762-9736
Phone
(662) 325-1028
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Eric Knox, OTR/L
Title
Occupational Therapist
Phone
(662) 325-1028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X OT2774 MS Primary
Corporate Health Clinic/Center 261QC1800X OT2774 MS

Addresses

Primary practice location

325 Hardy Road
Mississippi State, MS 39762-9736

Mailing address

325 Hardy Road
Mississippi State, MS 39762-0721

National Provider Directory

National Provider Directory
Tax ID family
Mississippi State University10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1891038303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HARDY ROAD",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "397620721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HARDY ROAD",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "397629736",
            "telephone_number": "662-325-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "662-325-1028",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MS",
            "license": "OT2774",
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "MS",
            "license": "OT2774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mississippi State, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.