East Mississippi State Hospital
NPI #1225342173 in Meridian, Mississippi
Provider Information
- NPI Number
- 1225342173
- Entity Type
- Organization
- Organization Name
- East Mississippi State Hospital
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 4555 HIGHLAND PARK DRIVE
- City
- Meridian
- State
- Mississippi
- ZIP Code
- 39307
- Phone
- (601) 581-7600
Authorized Official
- Name
- MR. CHARLES A. CARLISLE, MPPA
- Title
- FACILITY DIRECTOR
- Phone
- (601) 581-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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