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General NPI Number Information
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NPI Number | 1154287506
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 724 CELEBRITY DR
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City | RUSTON
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State | LA
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Zip | 71270
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Country | US
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Telephone | 800-223-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 E WOODROW WILSON AVE
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-364-5340
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | GARY ARMSTRONG
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Credential |
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Telephone | 601-364-3485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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