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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1154317527


NPI Information

NPI: 1154317527
Provider Name: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (866) 842-7574
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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is a general acute care hospital in Jackson, MS. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1154317527. The provider is registered as an organization entity type.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (866) 842-7574
Fax: (601) 815-6301

The provider's authorized official is Jeffrey Grimsley .
The authorized official title is Interim Cfo and has the following contact phone number (601) 815-8732.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital11-199MISSISSIPPIYes
2282N00000XGeneral Acute Care HospitalNo
3341600000XAmbulanceNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11154317527MEDICAIDMICHIGAN
21731200MEDICAIDLOUISIANA
3372079MEDICAIDARIZONA
4=========MEDICAIDILLINOIS
5HS022IPMEDICAIDALASKA
600550462MEDICAIDMISSISSIPPI
71430321MEDICAIDKENTUCKY
81691529MEDICAIDNEW YORK
9200125970AMEDICAIDINDIANA
10HOS1149NMEDICAIDALABAMA
111000022942MEDICAIDDELAWARE
1223487232MEDICAIDCOLORADO
13=========OTHERMISSISSIPPITRICARE
14000020149OTHERMISSISSIPPIBLUE CROSS OF MS
1500075205MEDICAIDMISSISSIPPI
16100510031MEDICAIDNEVADA
1705375086MEDICAIDMISSISSIPPI
18188845MEDICAIDOHIO
19=========OTHERMISSISSIPPIBENMARK
20XHSP42759MEDICAIDCALIFORNIA
21000020149OTHERMISSISSIPPISTATE OF MS
2210672004MEDICAIDMISSOURI
23908079MEDICAIDIOWA
24XHSP32759MEDICAIDCALIFORNIA
25108481105MEDICAIDARKANSAS
262500001MEDICAIDNORTH CAROLINA
271185270MEDICAIDNEVADA
28250001MEDICAIDTENNESSEE
29=========OTHERMISSISSIPPIAETNA
30HS022OPMEDICAIDALASKA
3100020149MEDICAIDMISSISSIPPI
32009908195MEDICAIDALASKA
330104140MEDICAIDDISTRICT OF COLUMBIA
3418204400002MEDICAIDPENNSYLVANIA
352314400MEDICAIDIDAHO
36=========OTHERMISSISSIPPICOMMERICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.