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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1821525957


NPI Information

NPI: 1821525957
Provider Name: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Other Name: UMMC GRENADA SPECIALTY-GRENADA FAMILY MEDICAL CLINIC RHC

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

Specialization: Rural Health

Address:
1300 SUNSET DR STE F
GRENADA, MS
ZIP 38901
Phone: (662) 227-0187
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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is a rural health clinic center in Grenada, MS. STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1821525957. The provider is registered as an organization entity type.
The provider Other Name Is Ummc Grenada Specialty-grenada Family Medical Clinic Rhc.

The provider's business location address is:

1300 SUNSET DR STE F
GRENADA, MS
ZIP 38901-083
Phone: (662) 227-0187

The provider's authorized official is Jeffrey Grimsley .
The authorized official title is Asst. Cfo and has the following contact phone number (601) 815-9818.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 7/21/2022.


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

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

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