MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH – NPI #1336224179
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH is a community based residential treatment facility located in JACKSON, MS. NPPES has assigned the NPI number 1336224179 to MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH” is a dba name, the actual legal business name for this organization is MISSISSIPPI STATE HOSPITAL AT WHITFIELD. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 14 years ago on Mar 14, 2012. 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 MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH below.
NPI Profile for
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
(more than 19 years ago)
JACKSON, MS 39203 Phone: (601) 351-8000 Fax: (601) 351-8301
3550 HIGHWAY 468 WEST
WHITFIELD, MS 39193-0157 Phone: (601) 351-8000 Fax: (601) 351-8301
DIRECTOR
Phone: (601) 351-8000
Identifiers for MISSISSIPPI STATE HOSPITAL COMMUNITY SERVICES MENTAL HEALTH
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MS | 04972797 |
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 |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (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.