CCN: 251637 NPI: 1386930113 Organization

COMPASSUS-MID-MISSISSIPPI

120 W CHEROKEE ST
BROOKHAVEN, MS 39601

Contact Information

Phone 6018495903
Fax 6018495346
Enumeration Date 2011-06-20
Last Updated 2021-10-13

Taxonomies

Code: 251G00000X (Primary) License State: MS License: 140

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27140

providerType 35

specialPaymentIndicator

carrierCode 07302

localityCode 00