Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Dominic-Jackson Memorial Hospital

Organization Psychiatric Hospital Unit · NPI 1679596860

St Dominic-Jackson Memorial Hospital is a Psychiatric Hospital Unit in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-2000
Fax: (600) 200-0924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X · Licence 14-031 (MS)

Record details

NPI number1679596860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Koury — Executive Vice President · (601) 200-6950
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address969 Lakeland Dr, Jackson, MS 39216-4606

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