| Mississippi State Hospital Physicians | |
|
3550 Hwy 468 West Whitfield MS 39193-0157 | |
| (601) 351-8000 | |
| (601) 351-8586 |
| Full Name | Mississippi State Hospital Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3550 Hwy 468 West, Whitfield, Mississippi |
| Authorized Official Name and Position | James G Chastain (DIRECTOR) |
| Authorized Official Contact | 6013518000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi State Hospital Physicians Po Box 1 Fiscal Services 3550 Hwy 468 West Whitfield MS 39193-0157 Ph: (601) 351-8000 | Mississippi State Hospital Physicians 3550 Hwy 468 West Whitfield MS 39193-0157 Ph: (601) 351-8000 |
| NPI Number | 1497788715 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497788715 | NPI | - | NPPES |
| 09012370 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31-139 (Mississippi) | Primary |
Oak Circle Center Physicians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Hwy 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8586 | |
Msh Psychiatric Physicians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8586 |