| Whitfield Medical Surgical Hospital Room & Board Psych | |
|
3550 Highway 468 W Pearl MS 39208-5529 | |
| (601) 351-8000 | |
| (601) 351-8301 |
| Full Name | Whitfield Medical Surgical Hospital Room & Board Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3550 Highway 468 W, Pearl, Mississippi |
| Authorized Official Name and Position | James G Chastain (DIRECTOR) |
| Authorized Official Contact | 6013518000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitfield Medical Surgical Hospital Room & Board Psych Po Box 157a Whitfield MS 39193-0157 Ph: (601) 351-8000 | Whitfield Medical Surgical Hospital Room & Board Psych 3550 Highway 468 W Pearl MS 39208-5529 Ph: (601) 351-8000 |
| NPI Number | 1255417457 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255417457 | NPI | - | NPPES |
| 00020011 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11-298 (Mississippi) | Primary |
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