# MISSISSIPPI STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922384551
- **Authorized official:** MICHAEL S LUCIUS (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (601) 576-7853

## Contact information

- **Practice address:** 8705 NORTHWEST DR, SUITE 1, SOUTHAVEN, MS 38671-2430
- **Practice address phone:** (662) 393-2775
- **Mailing address:** PO BOX 1700, JACKSON, MS 39215-1700

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 10/27/2011