OrganizationActive
East Mississippi State Hospital
NPI 1407269756 · Psychiatric Hospital Unit · Meridian, MS
Provider details
- NPI number
- 1407269756
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Parent organization
- Bradley A. Sanders Adolescent Complex
- Organization subpart
- Yes
- Authorized official
- William Entrekin, Business Services Director(601) 581-7969
- License
- 31-136 (MS)
Specialties & taxonomies
Hospital Units
Practice location
1401 College Dr
Meridian, MS 39307-5345
Phone: (601) 587-7562
Fax: (601) 581-7707
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4128
Meridian, MS 39304-4128
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.