SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION – NPI #1184662694
Clinic/Center

SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION is an AHC clinic located in MCCOMB, MS. NPPES has assigned the NPI number 1184662694 to SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION on June 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Apr 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION below.

NPI Profile for
SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION

NPI Number
1184662694
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION
Primary location
1701 WHITE ST
MCCOMB, MS 39648
Phone: (601) 684-2173 Fax: (601) 249-4234
Mailing address
PO BOX 768
1701 WHITE ST
MCCOMB, MS 39649
Phone: (601) 684-2173 Fax: (601) 249-4234
Organization Subpart
No
Authorized Official
MONTAVIA DORSEY
CREDENTIALING MGR
Phone: (601) 249-4235
Updated
Certification Date
Apr 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SW MS MENTAL HEALTH MENTAL RETARDATION COMMISSION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS00018211
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.