Organization
CENTRAL MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLENE MINOR HOSPITAL (MEDICAID BILLER)
(601) 376-1033
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1033
(601) 376-1144
Mailing address
1850 CHADWICK DR, JACKSON, SC 39204
(601) 376-1033
(601) 376-1144
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220630
—
SC
Enumeration date
08/16/2006
Last updated
07/21/2022
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