Mississippi State Department of Health

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

NPI 1972914711 · NPPES record last updated May 14, 2014

Key facts

NPI
1972914711
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Practice address
1230 Nola Road Monticello
Monticello, MS 39654-7004
Phone
(601) 587-2561
Fax
(601) 587-0595
NPI assigned
May 14, 2014
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 13

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)

Locations

1230 Nola Road Monticello
Monticello, MS 39654
Phone (601) 587-2561

Specialties & licenses

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

Addresses

Primary practice location

1230 Nola Road Monticello
Monticello, MS 39654-7004

Mailing address

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

Other names

  • Lawrence County Health Department Other name

Other providers in Monticello, MS

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

Sources for this page

Verify at the official NPI Registry.