Healthcare Provider Details

I. General information

NPI: 1154287506
Provider Name (Legal Business Name): MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 CELEBRITY DR
RUSTON LA
71270
US

IV. Provider business mailing address

1350 E WOODROW WILSON AVE
JACKSON MS
39216
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-6672
  • Fax:
Mailing address:
  • Phone: 601-364-5340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GARY ARMSTRONG
Title or Position: PRESIDENT & CEO
Credential:
Phone: 601-364-3485