# EAST MISSISSIPPI STATE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST MISSISSIPPI STATE HOSPITAL
- **Other names:** REGINALD P WHITE NURSING FACILITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972689313
- **Legal business name:** EAST MISSISSIPPI STATE HOSPITAL
- **Authorized official:** MR. WILLIAM HAMRICK ENTREKIN (BUSINESS SERVICES DIRECTOR)
- **Authorized official phone:** (601) 581-7969

## Contact information

- **Practice address:** 4555 HIGHLAND PARK DRIVE, MERIDIAN, MS 39307-2903
- **Practice address phone:** (601) 581-7562
- **Practice address fax:** (601) 581-7676
- **Mailing address:** P.O. BOX 4128, WEST STATION, MERIDIAN, MS 39304-4128
- **Mailing address phone:** (601) 581-7562
- **Mailing address fax:** (601) 581-7676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1230 | MS | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 07/27/2020