State of Mississippi-University of Mississippi Medical Center
NPI #1578011417 in Grenada, Mississippi
Provider Information
- NPI Number
- 1578011417
- Entity Type
- Organization
- Organization Name
- State of Mississippi-University of Mississippi Medical Center
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 21, 2016
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 965 AVENT DR STE 100B
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5045
- Phone
- (662) 227-7172
Authorized Official
- Name
- MR. SCOTT WHITTEMORE
- Title
- CFO GRENADA/HOLMES COUNTY
- Phone
- (662) 227-7172
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Rural — Rural |
| Clinic/Center - Rural Health — Rural Health |
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