OrganizationActive
Mississippi State Department of Health
NPI 1366853004 · Public Health or Welfare Agency · Jackson, MS
Mississippi State Department of Health is a Public Health or Welfare Agency organization in Jackson, MS (NPI 1366853004).
Provider details
- NPI number
- 1366853004
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mitchell Adcock, Chief Administrative Officer(601) 576-7635
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3276 Lynch St
Jackson, MS 39209-7205
Phone: (601) 969-5730
Fax: (601) 969-5729
Street-level locationGet directions
Mailing address
570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Other names (DBA / former)
- Other name
- South Jackson Wic Distribution
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2014-05-15
Frequently asked questions
- What is Mississippi State Department of Health's NPI number?
- Mississippi State Department of Health's National Provider Identifier (NPI) is 1366853004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi State Department of Health?
- Mississippi State Department of Health is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Mississippi State Department of Health located?
- Mississippi State Department of Health's practice location on file with NPPES is 3276 Lynch St, Jackson, MS 39209-7205.
- What is Mississippi State Department of Health's phone number?
- The practice phone number listed in the NPPES registry for Mississippi State Department of Health is (601) 969-5730.
- Who is the authorized official for Mississippi State Department of Health?
- The authorized official listed on Mississippi State Department of Health's NPPES record is Mitchell Adcock, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi State Department of Health's NPI active?
- Yes — Mississippi State Department of Health's NPI (1366853004) is active in the NPPES registry as of the last update on 2014-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.