Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MISSISSIPPI STATE UNIVERSITY
Active
Organization
MISSISSIPPI STATE UNIVERSITY
Active
Parent organization
MISSISSIPPI STATE UNIVERSITY
Other names
John C Longest Student Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI STATE UNIVERSITY
Authorized official
DANIEL T HALE (CLINIC BUSINESS ADMINISTRATOR)
(662) 325-5895
Entity
Organization
Contact information
Practice address
360 HARDY RD, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888
Mailing address
PO BOX 6338, MISSISSIPPI STATE, MS 39762-6338
(662) 325-2431
(662) 325-8888
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09012379
—
MS
Enumeration date
12/02/2005
Last updated
01/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up