Organization
MISSISSIPPI BAPTIST HEALTH SYSTEMS
Active
Parent organization
MISSISSIPPI BAPTIST MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI BAPTIST MEDICAL CENTER
Authorized official
KEN CAUSEY (DIRECTOR OF REHABILITATION)
(601) 968-1148
Entity
Organization
Contact information
Practice address
1190 N STATE ST, JACKSON, MS 39202-2413
(601) 968-1148
(601) 968-1337
Mailing address
PO BOX 23090, JACKSON, MS 39225-3090
(601) 968-1148
(601) 968-1337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5515
MS
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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