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PEARL WIC DISTRIBUTION CENTER
NPI 1316358914
Public Health or Welfare in Pearl, MS

Active since May 16, 2014
110 CROSS PARK DR, SUITE C, PEARL, MS 39208(601) 939-0450(601) 420-5160 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pearl Wic Distribution Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARL WIC DISTRIBUTION CENTER (NPI 1316358914) is a healthcare organization registered as a public health or welfare in Pearl, Mississippi and active in the NPI registry since May 2014. The organization lists Mitchell Adcock, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1316358914
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameMISSISSIPPI STATE DEPARTMENT OF HEALTH
Location Address110 CROSS PARK DR, SUITE CPearl, MS 39208-9016
Mailing Address570 E Woodrow Wilson AveJackson, MS 39216-4538 · (601) 576-7635
Phone(601) 939-0450
Fax(601) 420-5160
Organization SubpartNo
Authorized OfficialMitchell AdcockChief Administrative Officer · (601) 576-7635
Enumeration DateMay 16, 2014
✔ NPI 1316358914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
110 CROSS PARK DR, Pearl, MS 39208
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Other Names 1

Other NamePearl Wic Distribution Center

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONIKA V WILSON
Massage Therapist
110 CROSS PARK DR
PEARL, MS 39208
Rankin County (601) 506-5784
UNIVERS MEDICAL MASSAGE
Massage Therapist
110 CROSS PARK DR
PEARL, MS 39208
Rankin County (601) 506-5784
SHIREISLA DENAE KELLY NP
Nurse Practitioner (Family)
110 CROSS PARK DR
PEARL, MS 39208
Rankin County (601) 397-6731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi State Department Of Health's NPI number?

The NPI number for Mississippi State Department Of Health is 1316358914. It was assigned to this organization in the NPPES registry on May 16, 2014. The provider is also known as Pearl Wic Distribution Center.

Where is Mississippi State Department Of Health located?

Mississippi State Department Of Health is located at 110 Cross Park Dr Suite C, Pearl, MS 39208. The listed phone number is (601) 939-0450.

What is Mississippi State Department Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Mississippi State Department Of Health was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.