NPI 1629394853

East Mississippi State Hospital

Organisation Nursing Facility/Intermediate Care Facility Meridian, MS

Practice location

Address: 4555 Highland Park Dr, Meridian, MS 39307-5429
Phone: (601) 581-7600
Fax: (601) 581-7676
Mailing address: PO Box 4128, Meridian, MS 39304-4128

Authorised official

Name: Charles Carlisle
Title: Hospital Director
Phone: (601) 581-7878

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 1034 (MS)

Other Nursing Facility/Intermediate Care Facility providers in Mississippi →

Registry record

NPI: 1629394853
Entity type: Organization
NPI issued: 13 Apr 2010
Record last updated: 12 May 2020

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.