| Trace Regional Hospital | |
|
1002 E Madison St Houston MS 38851-2428 | |
| (662) 456-3700 | |
| (662) 456-1159 |
| Full Name | Trace Regional Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1002 E Madison St, Houston, Mississippi |
| Authorized Official Name and Position | Sheila Brockman (CEO) |
| Authorized Official Contact | 6624563700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trace Regional Hospital 1002 E Madison St Houston MS 38851-2428 Ph: (662) 456-3701 | Trace Regional Hospital 1002 E Madison St Houston MS 38851-2428 Ph: (662) 456-3700 |
| NPI Number | 1689753485 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 0042102352 |
|---|---|
| Medicare Enrollment ID | O20080508000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689753485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
North Mississippi Counseling, Pllc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 337 E Madison St Ste 6, Houston, MS 38851 Phone: 662-542-3444 Fax: 662-456-1232 | |
Progressive Health Of Houston--gero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 E Madison St, Houston, MS 38851 Phone: 662-456-3700 Fax: 662-456-1717 | |
Youth Villages Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 County Road 402, Houston, MS 38851 Phone: 901-282-9486 |