Provider Demographics
NPI:1003326158
Name:REGION TEN STATE OF MS
Entity type:Organization
Organization Name:REGION TEN STATE OF MS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH INFORMATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-483-4821
Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39302-2868
Mailing Address - Country:US
Mailing Address - Phone:601-483-4821
Mailing Address - Fax:601-485-0223
Practice Address - Street 1:700 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-2361
Practice Address - Country:US
Practice Address - Phone:601-683-4300
Practice Address - Fax:601-485-8727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGION TEN COMMISSION STATE OF MS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-03
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health