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SOUTH JACKSON WIC DISTRIBUTION
NPI 1366853004
Public Health or Welfare in Jackson, MS

Active since May 15, 2014
3276 LYNCH ST, JACKSON, MS 39209(601) 969-5730(601) 969-5729 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Jackson Wic Distribution NPPES

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

SOUTH JACKSON WIC DISTRIBUTION (NPI 1366853004) is a healthcare organization registered as a public health or welfare in Jackson, 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

NPI1366853004
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameMISSISSIPPI STATE DEPARTMENT OF HEALTH
Location Address3276 LYNCH STJackson, MS 39209-7205
Mailing Address570 E Woodrow Wilson AveJackson, MS 39216-4538 · (601) 576-7635
Phone(601) 969-5730
Fax(601) 969-5729
Organization SubpartNo
Authorized OfficialMitchell AdcockChief Administrative Officer · (601) 576-7635
Enumeration DateMay 15, 2014
✔ NPI 1366853004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
3276 LYNCH ST, Jackson, MS 39209
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Other Names 1

Other NameSouth Jackson Wic Distribution

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 1366853004. It was assigned to this organization in the NPPES registry on May 15, 2014. The provider is also known as South Jackson Wic Distribution.

Where is Mississippi State Department Of Health located?

Mississippi State Department Of Health is located at 3276 Lynch St, Jackson, MS 39209. The listed phone number is (601) 969-5730.

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 15, 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.