MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI 1922384551

NPI Information

  • NPI: 1922384551
  • Provider Name: MISSISSIPPI STATE DEPARTMENT OF HEALTH
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 8705 NORTHWEST DR
    SUITE 1
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 393-2775

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NPI Details

MISSISSIPPI STATE DEPARTMENT OF HEALTH is a public health or welfare in Southaven, MS. MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI is 1922384551. The provider is registered as an organization entity type.

The provider's business location address is:

8705 NORTHWEST DR
SUITE 1
SOUTHAVEN, MS
ZIP 38671-430
Phone: (662) 393-2775

The provider's authorized official is Michael S Lucius .
The authorized official title is Chief Administrative Officer and has the following contact phone number (601) 576-7853.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100020500MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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