Healthcare Provider Details

I. General information

NPI: 1447367834
Provider Name (Legal Business Name): NORTH MISSISSIPPI MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 S MADISON ST STE 2
TUPELO MS
38801-6308
US

IV. Provider business mailing address

990 SOUTH MADISON STREET STE 2
TUPELO MS
38801
US

V. Phone/Fax

Practice location:
  • Phone: 662-377-4919
  • Fax: 662-377-7236
Mailing address:
  • Phone: 662-377-4919
  • Fax: 662-377-7236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number04363
License Number StateMS

VIII. Authorized Official

Name: PATTI HAWKINS
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 662-377-4731