Organization
NORTH MISSISSIPPI MEDICAL CENTER INC
Active
Other names
Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TOPPIN (CORPORATE SECRETARY)
(662) 377-4229
Entity
Organization
Contact information
Practice address
4579 S EASON BLVD STE A, TUPELO, MS 38801-6539
(662) 377-3161
(662) 377-2993
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-2386
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009015893
—
MS
01
—
C02674
MEDICARE GROUP NUMBER
MS
01
—
CA5810
RAILROAD MEDICARE
MS
01
—
CJ3596
RAILROAD MEDICARE
MS
Enumeration date
09/13/2006
Last updated
01/22/2025
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