State of Mississippi- University of Mississippi Medical Center

NPI #1841727971 in Vaiden, Mississippi

Provider Information

NPI Number
1841727971
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
Clinic/Center - Rural Health
Enumeration Date
May 19, 2017
Last Updated
May 19, 2017

Practice Location

Address
201A MAGNOLIA ST
City
Vaiden
ZIP Code
39176-5644
Phone
(601) 496-5400

Authorized Official

Name
MR. JEFFREY GRIMSLEY
Title
ASST. CFO
Phone
(601) 985-9181

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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