OrganizationActive
Mississippi State Department of Health
NPI 1366853004 · Public Health or Welfare Agency · Jackson, MS
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
Practice location
3276 Lynch St
Jackson, MS 39209-7205
Phone: (601) 969-5730
Fax: (601) 969-5729
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.