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ITAWAMBA COUNTY HEALTH DEPARTMENT
NPI 1407266182
Public Health or Welfare in Fulton, MS

Active since May 02, 2014
110 CRANE ST, FULTON, MS 38843(662) 862-3710(662) 862-4988 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Public Health or Welfare

About ITAWAMBA COUNTY HEALTH DEPARTMENT

This page provides the complete NPI Profile along with additional information for Itawamba County Health Department, a provider established in Fulton, Mississippi operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1407266182 assigned on May 2014. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Itawamba County Health Department. The authorized official of this NPI record is Mr. Mitchell Adcock Cao (Chief Administrative Officer)

NPI
1407266182 Verify this NPI
Provider Legal Name
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Other Organization Name
ITAWAMBA COUNTY HEALTH DEPARTMENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
110 CRANE ST FULTON, MS 38843
Location Phone
(662) 862-3710
Location Fax
(662) 862-4988
Mailing Address
570 E WOODROW WILSON AVE JACKSON, MS 39216
Mailing Phone
(601) 576-7635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2014
Last Update Date
05-02-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MITCHELL ADCOCK CAO

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(601) 576-7635

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Frequently Asked Questions

What is MISSISSIPPI STATE DEPARTMENT OF HEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1407266182, enumerated as an "organization" on May 02, 2014.

Where is the provider located?

The provider is located at 110 CRANE ST FULTON, MS 38843 and the phone number is (662) 862-3710.

What is the provider's specialty?

Public Health or Welfare with taxonomy code 251K00000X.