Provider Demographics
NPI:1609263284
Name:NORTH MISSISSIPPI HEALTHCARE
Entity Type:Organization
Organization Name:NORTH MISSISSIPPI HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-775-2356
Mailing Address - Street 1:PO BOX 682748
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-2748
Mailing Address - Country:US
Mailing Address - Phone:615-775-2356
Mailing Address - Fax:
Practice Address - Street 1:3201 ASPEN GROVE DR
Practice Address - Street 2:K4
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4854
Practice Address - Country:US
Practice Address - Phone:615-775-2356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000000900253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care