- Enrollment id
- O20071120000184
- Enrollment state
- MS
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003871344
- Multiple npi flag
- N
- Ccn
- 257002
- Associate id
- 9931010600
- Organization name
- NORTH MISSISSIPPI MEDICAL CENTER, INC.
- Doing business as name
- NORTH MS MEDICAL CENTER HOME HEALTH AGENCY
- Incorporation date
- 1982-04-02
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 424 EAST PRESIDENT STREET
- City
- TUPELO
- State
- MS
- Zip code
- 38801