Organization
MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC
Active
Other names
Methodist Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ARMSTRONG (EXEC VICE PRESIDENT)
(601) 981-2611
Entity
Organization
Contact information
Practice address
1600 14TH ST, MERIDIAN, MS 39301-4242
(601) 483-5280
Mailing address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43-278
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040292
—
MS
Enumeration date
02/02/2007
Last updated
11/20/2012
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