Organization
MISSISSIPPI STATE HOSPITAL WHITFIELD
Active
Parent organization
MISSISSIPPI STATE HOSPITAL WHITFIELD
Other names
Mississippi State Hospital Room and Board
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI STATE HOSPITAL WHITFIELD
Authorized official
MR. JAMES G CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Mailing address
P.O. BOX 1 FISCAL SERVICES, 3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
31-139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020190
BLUE CROSS BLUE SHIELD
MS
05
—
00108537
—
MS
Enumeration date
04/03/2007
Last updated
05/02/2022
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