Organization · Type 2 NPI

East Mississippi State Hospital

Nursing Facility/Intermediate Care Facility · Meridian, MS

NPI number 1629394853 Active

Practice location

4555 Highland Park Dr
Meridian, MS 39307-5429

Call (601) 581-7600 Map

Fax (601) 581-7676

Mailing address

PO Box 4128
Meridian, MS 39304-4128

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X1034 (MS)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1629394853

East Mississippi State Hospital's National Provider Identifier is 1629394853, issued on Apr 13, 2010. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Meridian, MS. The record was last updated on May 12, 2020.