Organization
EAST MISSISSIPPI STATE HOSPITAL
Active
Parent organization
EAST MISSISSIPPI STATE HOSPITAL
Other names
James T. Champion Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MISSISSIPPI STATE HOSPITAL
Authorized official
CHARLES CARLISLE (HOSPITAL DIRECTOR)
(601) 581-7878
Entity
Organization
Contact information
Practice address
4555 HIGHLAND PARK DR, MERIDIAN, MS 39307-5429
(601) 581-7600
(601) 581-7676
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-7600
(601) 581-7676
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1034
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831556
—
MS
Enumeration date
04/13/2010
Last updated
05/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us