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NPI Code Detail

MEDICARE: REGION IV MENTAL HEALTH SERVICES

MEDICARE: REGION IV MENTAL HEALTH SERVICES
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 Agency

Other Identifiers

General Provider Information

NPI Number : 1699869537
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION IV MENTAL HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 839
Second Line : 303 N MADISON ST
City : CORINTH
State : MS
Zip : 38835-0839
Country : US
Telephone Number : 662-286-9883
Fax Number : 662-284-9836
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 :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JASON RAMEY
Credential :
Telephone Number : 662-286-9883
Provider Enumeration Date : 10/03/2006
Last Update Date : 01/26/2023

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1699058669 — MELINA PAIGE JETTON RN
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Directions to “REGION IV MENTAL HEALTH SERVICES ” Practice Location

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