Organization
HUDSPETH REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LIPSCOMB PHD (DIRECTOR)
(601) 664-6000
Entity
Organization
Contact information
Practice address
HIGHWAY 475 SOUTH, WHITFIELD, MS 39193
(601) 664-6000
(601) 354-6945
Mailing address
PO BOX 127B, WHITFIELD, MS 39193-1032
(601) 664-6000
(601) 354-6945
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
310
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021843
—
MS
05
—
00095184
—
MS
05
—
00770074
—
MS
05
—
08582577
—
MS
05
—
09015377
—
MS
Enumeration date
01/02/2007
Last updated
08/22/2020
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