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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1538179585


NPI Information

NPI: 1538179585
Provider Name: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Doing Business As: HOLMES FAMILY MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
239 BOWLING GREEN ROAD
LEXINGTON, MS
ZIP 39095
Phone: (662) 834-1321
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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is a rural health clinic center in Lexington, MS. STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1538179585. The provider is registered as an organization entity type.
The provider Is Doing Business As Holmes Family Medical Clinic.

The provider's business location address is:

239 BOWLING GREEN ROAD
LEXINGTON, MS
ZIP 39095
Phone: (662) 834-1321
Fax: (601) 815-6301

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

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/8/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106300013MEDICAIDMISSISSIPPI

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: 5/5/2024

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.