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NPI Code Detail

MEDICARE: NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION

MEDICARE: NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)REG2-AGENCYMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558468694
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION
Provider Business Mailing Address
First Line : 152 HIGHWAY 7 S
Second Line :
City : OXFORD
State : MS
Zip : 38655-5392
Country : US
Telephone Number : 662-234-7521
Fax Number : 662-236-3071
Provider Business Practice Location Address
First Line : 152 HIGHWAY 7 S
Second Line :
City : OXFORD
State : MS
Zip : 38655-5392
Country : US
Telephone Number : 662-234-7521
Fax Number : 662-236-3071
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. SANDY A ROGERS
Credential : PH.D.
Telephone Number : 662-234-7521
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/07/2017

Similar Medicare Providers

1649374265 — MRS. MARY SUE SPECK
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax: 662-236-3071
1598864274 — ROBERT B CULPEPPER M.D.
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax: 662-236-3071
1659462968 — MS. KENDRA LARSEN WALKER MS, CMHT
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax: 662-236-3071
1851482178 — MS. PATRICIA KISTE PHILLIPS LCSW
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax:
1962597708 — DR. MICHAEL DEAN ROBERTS PH.D.
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax: 662-346-3071
1104907302 — ELEANOR G WATSON LPC
Practice Location Address:
152 HIGHWAY 7 S
OXFORD, MS
38655-5392
Practice Phone: 662-234-7521
Practice Fax: 662-236-3071

Directions to “NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.