# MISSISSIPPI STATE DEPARTMENT OF HEALTH

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

## Provider details

- **NPI number:** 1528478898
- **Authorized official:** MR. MITCHELL ADCOCK CAO (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (601) 576-7635

## Contact information

- **Practice address:** 204 WM CHIPLEY ST, CARTHAGE, MS 39051-4256
- **Practice address phone:** (601) 267-3072
- **Practice address fax:** (601) 267-6277
- **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:** 05/07/2014
- **Last updated:** 05/07/2014