State of Mississippi - University of Mississippi Medical Center

NPI #1003431602 in Grenada, Mississippi

Provider Information

NPI Number: 1003431602
Entity Type: Organization
Organization Name: State of Mississippi - University of Mississippi Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Primary Specialty: Medicare Defined Swing Bed Unit
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 960 AVENT DR
City: Grenada
State: Mississippi
ZIP Code: 38901-5230
Phone: (662) 227-7000

Authorized Official

Name: MR. SCOTT WHITTEMORE
Title: CHIEF FINANCIAL OFFICER
Phone: (662) 227-7172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medicare Defined Swing Bed Unit	275N00000X	Primary

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