| East Mississippi State Hospital | |
|
1401 College Dr Meridian MS 39307-5345 | |
| (601) 587-7562 | |
| (601) 581-7707 |
| Full Name | East Mississippi State Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1401 College Dr, Meridian, Mississippi |
| Authorized Official Name and Position | William Hamrick Entrekin (BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 6015817969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mississippi State Hospital Po Box 4128 Meridian MS 39304-4128 Ph: (601) 581-7562 | East Mississippi State Hospital 1401 College Dr Meridian MS 39307-5345 Ph: (601) 587-7562 |
| NPI Number | 1407269756 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407269756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 31-136 (Mississippi) | Primary |
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