Organization · Type 2 NPI

East Mississippi State Hospital

Multi-Specialty Clinic/Center · Meridian, MS

NPI number 1972689313 Active

Practice location

4555 Highland Park Drive
Meridian, MS 39307-2903

Call (601) 581-7562 Map

Fax (601) 581-7676

Mailing address

P.o. Box 4128, West Station
Meridian, MS 39304-4128

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Nursing Facility/Intermediate Care Facility	313M00000X	1230 (MS)

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

East Mississippi State HospitalPsychiatric Hospital Meridian, MS NPI 1225342173

Other multi-specialty clinic/center providers in Meridian

See all in Meridian →

NPI record

NPI: 1972689313
Entity type: Organization (Type 2)
Issued: Oct 27, 2006
Last updated: Jul 27, 2020
Status: Active
Subpart: Yes of East Mississippi State Hospital

Other names

<unavail>
Reginald P White Nursing Facility · other name
Reginald P White Nursing Facility · other name

Authorized official

Mr. William Hamrick Entrekin
Business Services Director
(601) 581-7969

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 1972689313

East Mississippi State Hospital's National Provider Identifier is 1972689313, issued on Oct 27, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Meridian, MS. The record was last updated on Jul 27, 2020.