# MISSISSIPPI STATE DEPARTMENT OF HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992843999
- **Authorized official:** MITCHELL ADCOCK (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (601) 576-7635

## Contact information

- **Practice address:** 570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
- **Practice address phone:** (601) 576-7566
- **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:** 02/02/2007
- **Last updated:** 06/02/2008