# MISSISSIPPI STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southaven Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003226903
- **Authorized official:** DR. DANIEL P EDNEY MD, FACP (STATE HEALTH OFFICER)
- **Authorized official phone:** (601) 576-7634

## Contact information

- **Practice address:** 8705 NORTHWEST DR, BUILDING A, SUITE 1, SOUTHAVEN, MS 38671-2430
- **Practice address phone:** (662) 393-2775
- **Practice address fax:** (662) 393-2819
- **Mailing address:** 570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
- **Mailing address phone:** (601) 576-7635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2014
- **Last updated:** 06/28/2022