# MISSISSIPPI STATE DEPARTMENT OF HEALTH

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

## Provider details

- **NPI number:** 1669882270
- **Authorized official:** MR. MITCHELL ADCOCK CAO (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (601) 576-7635

## Contact information

- **Practice address:** 707 ALBERTA DR, WINONA, MS 38967-1538
- **Practice address phone:** (662) 283-3655
- **Practice address fax:** (662) 283-2528
- **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:** 05/05/2014
- **Last updated:** 05/05/2014