Organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Active
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Other names
North Mississippi Medical Center Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Authorized official
MR. JOSEPH A REPPERT (CFO)
(662) 377-3978
Entity
Organization
Contact information
Practice address
422-B EAST PRESIDENT AVE, TUPELO, MS 38801-5500
(662) 377-3612
(662) 377-7983
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070614
BLUE CROSS
MS
05
—
00070662
—
MS
Enumeration date
04/19/2006
Last updated
10/08/2019
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