| NPI | 1033222922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLENE MINOR Medicaid Biller 601-376-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MS 001) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-07-21 |