Mississippi Medicaid lookup
One provider matched this Medicaid ID.
Mississippi Medicaid ID 05123737 resolves to a single NPI record. Open the full profile for complete detail.
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NM
NPI · 1982761367 · Active
Northeast Mental Health Mental Retardation Commission
Community/Retail Pharmacy · Amory, Mississippi
NPI
1982761367
Medicaid (MS)
05123737
Taxonomy
3336C0003X
State
Mississippi
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 2047457· Issued by PK
Medicaid
- 05123737MS
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.