| East Ms State Hospital | |
|
4555 Highland Park Dr Meridian MS 39307-5429 | |
| (601) 481-1135 | |
| (601) 581-7676 |
| Full Name | East Ms State Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 4555 Highland Park Dr, Meridian, Mississippi |
| Authorized Official Name and Position | Charles Carlisle (DIRECTOR) |
| Authorized Official Contact | 6015817836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ms State Hospital P O Box 4128, West Station 4555 Highland Park Drive Meridian, MS 39304-4128 Ph: (601) 481-1135 | East Ms State Hospital 4555 Highland Park Dr Meridian MS 39307-5429 Ph: (601) 481-1135 |
| NPI Number | 1093038234 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093038234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 31 136 (Mississippi) | Primary |
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Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
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