Provider Demographics
NPI:1982782694
Name:EAST CENTRAL PLANNING & DEVELOPMENT DISTRICT
Entity Type:Organization
Organization Name:EAST CENTRAL PLANNING & DEVELOPMENT DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:601-683-2007
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-0499
Mailing Address - Country:US
Mailing Address - Phone:601-683-2207
Mailing Address - Fax:601-683-7873
Practice Address - Street 1:280 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345
Practice Address - Country:US
Practice Address - Phone:601-683-2207
Practice Address - Fax:601-683-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770317Medicaid