| South Mississippi State Hospital | |
|
823 Highway 589 Purvis MS 39475-4194 | |
| (601) 794-0100 | |
| (601) 794-0213 |
| Full Name | South Mississippi State Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 823 Highway 589, Purvis, Mississippi |
| Authorized Official Name and Position | Wynona Winfield (HOSPITAL DIRECTOR) |
| Authorized Official Contact | 6017940100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mississippi State Hospital 823 Highway 589 Purvis MS 39475-4194 Ph: (601) 794-0100 | South Mississippi State Hospital 823 Highway 589 Purvis MS 39475-4194 Ph: (601) 794-0100 |
| NPI Number | 1457330995 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648452383 |
|---|---|
| Medicare Enrollment ID | O20110316000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457330995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 31336 (Mississippi) | Primary |
| 283Q00000X | Psychiatric Hospital | 31329 (Mississippi) | Primary |
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