MEDICARE: MS STATE DEPARTMENT OF HEALTH

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
1	251E00000X	Home Health Agency	7881	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1730164674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS STATE DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 1700
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39215-1700
Country	:	US
Telephone Number	:	601-987-4995
Fax Number	:	601-987-8633

Provider Business Practice Location Address
First Line	:	350 WEST WOODROW WILSON AVENUE
Second Line	:	HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A
City	:	JACKSON
State	:	MS
Zip	:	39213
Country	:	US
Telephone Number	:	601-987-4995
Fax Number	:	601-987-8633

Authorized Official
Title or Position	:	DIRECTOR OF HOME HEALTH
Name	:	MRS. MELANIE BOWMAN
Credential	:	RN
Telephone Number	:	601-576-7853

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	07/14/2008

Similar Medicare Providers

1881673648 — DR. JAN M HAUSMANN MD
Practice Location Address:

350 W WOODROW WILSON AVE , JACKSON-HINDS COMPREHENSIVE HEALTH CENTER
JACKSON, MS
39213-7681

Practice Phone: 601-709-5130
Practice Fax: 601-709-5141

1184607210 — DR. SRINIVASAN VIJAYAKUMAR M.D.
Practice Location Address:

350 W WOODROW WILSON AVE , SUITE 16
JACKSON, MS
39213-7681

Practice Phone: 601-815-6886
Practice Fax:

1366426082 — MAGNOLIA NURSING CENTER LLC
Practice Location Address:

3701 PETER QUINN DR
JACKSON, MS
39213-3309

Practice Phone: 601-366-1712
Practice Fax: 601-366-1715

1598749210 — HINDS COUNTY NURSING &REHABILITATION CENTER LLC
Practice Location Address:

3454 ALBERMARLE ROAD
JACKSON, MS
39213

Practice Phone: 601-362-5394
Practice Fax: 601-366-9276

1952386559 — LABORATORY CORPORATION OF AMERICA HOLDINGS
Practice Location Address:

3502 W NORTHSIDE DR
JACKSON, MS
39213-4454

Practice Phone: 601-914-1976
Practice Fax:

1225015266 — BE JAY PE LTD
Practice Location Address:

350 W WOODROW WILSON AVE STE 311
JACKSON, MS
39213-7681

Practice Phone: 601-487-2281
Practice Fax: 601-362-6325

Directions to “MS STATE DEPARTMENT OF HEALTH ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.