NPI 1043620685

Mississippi State Department of Health

Organisation Public Health or Welfare Agency Indianola, MS

Practice location

Address: 227 S Martin Luther King Jr Dr, Indianola, MS 38751-2627
Phone: (662) 887-4951
Fax: (662) 887-4999
Mailing address: 570 E Woodrow Wilson Ave, Jackson, MS 39216-4538

Authorised official

Name: Mitchell Adcock
Title: Chief Administrative Officer
Phone: (601) 576-7635

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Mississippi →

Registry record

NPI: 1043620685
Entity type: Organization
NPI issued: 5 May 2014
Record last updated: 5 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.