Organization · Type 2 NPI

Mississippi State Department of Health

Public Health or Welfare Agency · Southaven, MS

NPI number 1003226903 Active

Practice location

8705 Northwest Dr, Building A, Suite 1
Southaven, MS 38671-2430

Call (662) 393-2775 Map

Fax (662) 393-2819

Mailing address

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

Another provider at this address

Mississippi State Department of HealthPublic Health or Welfare Agency Southaven, MS NPI 1922384551

Other public health or welfare agency providers in Southaven

Mississippi State Department of HealthPublic Health or Welfare Agency Southaven, MS NPI 1922384551

See all in Southaven →

NPI record

NPI: 1003226903
Entity type: Organization (Type 2)
Issued: Apr 30, 2014
Last updated: Jun 28, 2022
Status: Active

Other names

<unavail>
Southaven Health Department · other name
Southaven Health Department · other name

Authorized official

Dr. Daniel P Edney, MD, FACP
State Health Officer
(601) 576-7634

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003226903

Mississippi State Department of Health's National Provider Identifier is 1003226903, issued on Apr 30, 2014. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Southaven, MS. The record was last updated on Jun 28, 2022.