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NPI Code Detail

MEDICARE: REGION IV MENTAL HEALTH SERVICES-ALCORN CHILDREN'S

MEDICARE: REGION IV MENTAL HEALTH SERVICES-ALCORN CHILDREN'S
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
1251S00000XCommunity/Behavioral Health AgencyMS
2251B00000XCase Management Agency

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 : 1336424589
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION IV MENTAL HEALTH SERVICES-ALCORN CHILDREN'S
Provider Business Mailing Address
First Line : PO BOX 839
Second Line :
City : CORINTH
State : MS
Zip : 38835-0839
Country : US
Telephone Number : 662-286-9883
Fax Number : 662-286-9836
Provider Business Practice Location Address
First Line : 2664 S HARPER RD
Second Line :
City : CORINTH
State : MS
Zip : 38834-6723
Country : US
Telephone Number : 662-287-4055
Fax Number : 662-287-4114
Authorized Official
Title or Position : INTERIM DIRECTOR
Name : JASON RAMEY
Credential :
Telephone Number : 662-286-9883
Provider Enumeration Date : 10/19/2011
Last Update Date : 06/04/2020

Similar Medicare Providers

1164364733 — MARLIE MILES LMSW
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax: 662-287-4114
1699869537 — REGION IV MENTAL HEALTH SERVICES
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax:
1194039297 — JERRY CLIMER
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax: 662-287-4114
1134422215 — DUSTIN W INSELL
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax: 662-287-4114
1699058669 — MELINA PAIGE JETTON RN
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax: 662-287-4114
1861754749 — RONNIE WILLIAM HIGHLAND MSW
Practice Location Address:
2664 S HARPER RD
CORINTH, MS
38834-6723
Practice Phone: 662-287-4055
Practice Fax: 662-287-4114

Directions to “REGION IV MENTAL HEALTH SERVICES-ALCORN CHILDREN'S ” Practice Location

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