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East Mississippi State Hospital
Nursing Facility/Intermediate Care Facility in Meridian, Mississippi
NPI 1972689313

East Mississippi State Hospital is a Nursing Facility/Intermediate Care Facility based in Meridian, MS. East Mississippi State Hospital practices in Meridian, MS. The NPI Number for East Mississippi State Hospital is 1972689313 and holds a License No. (Mississippi).

The current practice location address for East Mississippi State Hospital is 4555 Highland Park Drive, Meridian, MS and can be reached out via phone at 601-581-7562 and via fax at 601-581-7676.

Location: 4555 Highland Park Drive, Meridian, MS, 39304-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972689313
Provider Name
East Mississippi State Hospital
Credential
Provider Entity Type
Organization
Address
4555 Highland Park Drive, Meridian, MS, 39304-4128
Phone Number
601-581-7562
Fax Number
601-581-7676
Provider Enumeration Date
10/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00023122 05 MS
institution
Provider Business Practice Location Address Details
Address
4555 Highland Park Drive
City
Meridian
State
Mississippi
Zip
39307-2903
Phone Number
601-581-7562
Fax Number
601-581-7676
person
Provider Business Mailing Address Details
Address
4555 Highland Park Drive
City
Meridian
State
Mississippi
Zip
39307-2903
Phone Number
601-581-7562
Fax Number
601-581-7676
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
1230 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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