WEST MISSISSIPPI MEDICAL SERVICES – NPI #1215451794
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

WEST MISSISSIPPI MEDICAL SERVICES is a provider located in VICKSBURG, MS. NPPES has assigned the NPI number 1215451794 to WEST MISSISSIPPI MEDICAL SERVICES on July 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 WEST MISSISSIPPI MEDICAL SERVICES below.

NPI Profile for
WEST MISSISSIPPI MEDICAL SERVICES

NPI Number
1215451794
Enumeration Date

(about 9 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
WEST MISSISSIPPI MEDICAL SERVICES
Primary location
100 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone: (601) 883-3532 Fax:
Mailing address
607 TIFFINTOWN RD
VICKSBURG, MS 39183-1503
Phone: (601) 636-8184 Fax:
Organization Subpart
No
Authorized Official
STANLEY EASTERLING
OWNER
Phone: (601) 636-8184
Updated
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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 MS 10687

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.